Individual provider Active NPI

Karly Bishop, DO

  • Family Medicine Physician
  • Valdosta, GA
National Provider Identifier
1396163150
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
90640 Issued in GA
Practice address
2412 N Oak St
Valdosta, GA 31602-2567
Phone
(229) 244-1400
Fax
(229) 244-5512
NPI assigned
Mar 30, 2014
Last updated
Mar 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 90640 GA Primary
Family Medicine Physician 207Q00000X DO2703 ME

Addresses

Primary practice location

2412 N Oak St
Valdosta, GA 31602-2567

Mailing address

2412 N Oak St
Valdosta, GA 31602-2567
Phone (229) 244-1400

Other practice location 1

149 North St
Waterville, ME 04901-4974
Phone (207) 861-5101

Other practice location 2

181 Franklin Health Commons
Farmington, ME 04938
Phone (207) 778-3326

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170912002987 ME Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 4082938733 Reassigns benefits to 2 organizations
I20220126000016 GA Practitioner - Family Practice 4082938733 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DO2703MEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valdosta Family Medicine Associates, P.C. Family Medicine CurrentSince Dec 27, 2021 Accepting new patients
Mainegeneral Medical Center CurrentSince Jul 27, 2017 Accepting new patients
Mainehealth CurrentSince Aug 1, 2018 Accepting new patients
Mainegeneral Medical Center CurrentSince Jul 27, 2017 Accepting new patients
Hospital Manipulative Service PA Past Accepting new patients

Locations

2412 N Oak St
Valdosta, GA 31602
Phone (229) 244-1400

2418 N Oak St
Valdosta, GA 31602
Phone (229) 289-1517

111 Franklin Health Cmns
Farmington, ME 04938
Phone (207) 778-3326

181 Franklin Health Cmns
Farmington, ME 04938
Phone (207) 778-3326

149 North St
Waterville, ME 04901
Phone (207) 622-1959

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CHFDAA

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1396137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1396163150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2412 N OAK ST",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316022567",
            "telephone_number": "229-244-1400",
            "fax_number": "229-244-5512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2412 N OAK ST",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316022567",
            "telephone_number": "229-244-1400",
            "fax_number": "229-244-5512"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "149 North St",
            "address_purpose": "LOCATION",
            "city": "Waterville",
            "state": "ME",
            "postal_code": "049014974",
            "country_code": "US",
            "telephone_number": "207-861-5101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "181 Franklin Health Commons",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "ME",
            "postal_code": "04938",
            "country_code": "US",
            "telephone_number": "207-778-3326",
            "fax_number": "207-778-3102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "KARLY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-30",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "90640",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "DO2703",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valdosta, GA

Sources for this page

Verify at the official NPI Registry.