Active NPI
Hughston Surgical Center of Valdosta LLC
- Ambulatory Surgical Clinic/Center
- Valdosta, GA
National Provider Identifier
1346013018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- HUGHSTON SURGICAL CENTER OF VALDOSTA LLC
- Practice address
- 4340 Kings Way Ste B
Valdosta, GA 31602-6921 - Phone
- (229) 506-7470
- NPI assigned
- Nov 3, 2023
- Last updated
- Mar 17, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marla McMeans
- Title
- Sys Dir of Credentialing
- Phone
- (706) 494-3171
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | NU | Primary |
Addresses
Primary practice location
4340 Kings Way Ste B
Valdosta, GA 31602-6921
Mailing address
PO Box 370
Fortson, GA 31808-0370
Phone (229) 506-7470
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240229002730 | GA | Part B Supplier - Ambulatory Surgical Center | 7911342928 | Practice locations: Valdosta, GA |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Hughston Surgical Center of Valdosta LLC
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2302465 | Hughston Surgical Center of Valdosta, LLC | Certificate of waiver | Apr 9, 2028 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Ambulatory Surgical Clinic/Center
- Columbus, GA
- NPI 1376835017
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698969600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773705600000",
"number": "1346013018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 370",
"city": "FORTSON",
"state": "GA",
"postal_code": "318080370",
"telephone_number": "229-506-7470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4340 KINGS WAY STE B",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316026921",
"telephone_number": "229-506-7470"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HUGHSTON SURGICAL CENTER OF VALDOSTA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-03",
"last_updated": "2026-03-17",
"certification_date": "2026-03-17",
"status": "A",
"authorized_official_last_name": "MCMEANS",
"authorized_official_first_name": "MARLA",
"authorized_official_title_or_position": "SYS DIR OF CREDENTIALING",
"authorized_official_telephone_number": "706-494-3171"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valdosta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.