Individual provider Active NPI

Larae L Seemann, MD

  • Sports Medicine (Family Medicine) Physician
  • Valdosta, GA
National Provider Identifier
1578149043
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
103804 Issued in GA
Practice address
4340 Kings Way
Valdosta, GA 31602-6921
Phone
(229) 333-9736
NPI assigned
Mar 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X 103804 GA Primary
Family Medicine Physician 207Q00000X 103804 GA

Addresses

Primary practice location

4340 Kings Way
Valdosta, GA 31602-6921

Mailing address

PO Box 370
Fortson, GA 31808-0370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, 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
I20241024004071 FL Practitioner - Family Practice 7618378464 Reassigns benefits to 1 organization
I20250714000903 GA Practitioner - Family Practice 7618378464 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical College of Georgia School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians
Hughston Medical Group, PCGroup PAC ID 7810320959, 16 clinicians

Practice addresses (Care Compare)

2600 Compass Rd
Glenview, IL 60026-8001

4340 Kings Way
Valdosta, GA 31602-6921
Phone (229) 333-9736

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TRN33656FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hughston Medical Group, PC CurrentSince Aug 1, 2025 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Oct 4, 2024 Accepting new patients
Hughston Medical Group, PC CurrentSince Aug 1, 2025 Accepting new patients
Florida Clinical Practice Association Inc Family Medicine CurrentSince Oct 4, 2024 Accepting new patients

Locations

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

1900 10th Ave
Ste 211
Columbus, GA 31901
Phone (334) 699-5747

1430 US Highway 82 W
Tifton, GA 31793
Phone (229) 333-9736

4340 Kings Way
Valdosta, GA 31602
Phone (229) 333-9736

Interoperability endpoints

  • Direct secure messaging: larae.seemann.1@321.direct.athenahealth.com

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": "1616457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1578149043",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4340 KINGS WAY",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316026921",
            "telephone_number": "229-333-9736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEEMANN",
        "first_name": "LARAE",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-23",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "GA",
            "license": "103804",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "103804",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valdosta, GA

Sources for this page

Verify at the official NPI Registry.