Individual provider Active NPI

Jason Michael Geddings, AA

  • Anesthesiologist Assistant
  • Valdosta, GA
National Provider Identifier
1497080659
Registry record updated Oct 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiologist AssistantTaxonomy code 367H00000X
License
005671 Issued in GA
Practice address
2310 N Patterson St BLDG C
Valdosta, GA 31602-2500
Phone
(229) 244-6852
Fax
(229) 242-2385
NPI assigned
Oct 6, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiologist Assistant 367H00000X 005671 GA Primary

Addresses

Primary practice location

2310 N Patterson St BLDG C
Valdosta, GA 31602-2500

Mailing address

2310 N Patterson St BLDG C
Valdosta, GA 31602-2500
Phone (229) 244-6852

Other identifiers 1

IdentifierTypeStateIssuer
005671OtherGAGEORGIA LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091026000014 GA Practitioner - Anesthesiology Assistant 4486791423 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tift Regional Health System IncGroup PAC ID 2062745169, 294 clinicians

Practice addresses (Care Compare)

901 18TH St E
Tifton, GA 31794-3648
Phone (229) 382-7120

Hospital & facility affiliations

  • Southwell Medical, a Campus of TRMC Hospital, Adel, GA, CCN 110101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Associate of Arts

State licenses

LicenseStateTypeSpecialty
005671GAMDAnesthesiologist Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tift Regional Health System Inc CurrentSince Apr 4, 2022 Accepting new patients
Tift Regional Health System Inc Current Accepting new patients
Tift Regional Health System Inc CurrentSince Apr 4, 2022 Accepting new patients
Valdosta Anesthesia Associates, P.C. CurrentSince Oct 6, 2009 Accepting new patients

Locations

260 Mj Taylor Rd
Adel, GA 31620
Phone (229) 247-2290

901 18th St E
Tifton, GA 31794
Phone (229) 353-6208

2227 US Highway 41 N
Tifton, GA 31794
Phone (229) 353-6188

2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139

2800 N Oak St
Valdosta, GA 31602
Phone (229) 244-1211

2310 N Patterson St
Bldg C
Valdosta, GA 31602
Phone (229) 244-6852

4280 N Valdosta Rd
Valdosta, GA 31602
Phone (229) 433-7350

2810 N Oak St
Valdosta, GA 31602
Phone (229) 259-0019

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1254787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254787200000",
    "number": "1497080659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 N PATTERSON ST BLDG C",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316022500",
            "telephone_number": "229-244-6852",
            "fax_number": "229-242-2385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 N PATTERSON ST BLDG C",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316022500",
            "telephone_number": "229-244-6852",
            "fax_number": "229-242-2385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEDDINGS",
        "first_name": "JASON",
        "middle_name": "MICHAEL",
        "credential": "AA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-06",
        "last_updated": "2009-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "GA",
            "license": "005671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA LICENSE",
            "identifier": "005671",
            "state": "GA"
        }
    ],
    "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 Oct 6, 2009; 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.

Verify at the official NPI Registry.