Active NPI
Laura Guadiana, MD
- Obesity Medicine (Preventive Medicine) Physician
- Valdosta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obesity Medicine (Preventive Medicine) Physician
- License
- 78515
- Practice address
- 3374 Greystone Way
Valdosta, GA 31605-1096 - Phone
- (229) 247-9911
- Fax
- (229) 247-8844
- NPI assigned
- May 19, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 078515 | GA | |
| Obesity Medicine (Preventive Medicine) Physician | 2083B0002X | 78515 | GA | Primary |
Addresses
Primary practice location
3374 Greystone Way
Valdosta, GA 31605-1096
Mailing address
4370 Kings Way Ste E
Valdosta, GA 31602-6905
Phone (229) 433-8181
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180125002138 | GA | Practitioner - Preventive Medicine | 5991920340 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Preventive Medicine
- Education
- University of California, Davis School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4370 Kings Way
Suite E
Valdosta, GA 31602-6905
Phone (229) 433-8181
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 078515 | GA | MD | Family Medicine Physician |
| 78515 | GA | MD | Obesity Medicine (Preventive Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SGMC Affiliated Services LLC | Current | Accepting new patients | |
| SGMC Physician Network Inc | Family Medicine | Current | Accepting new patients |
Locations
4280 N Valdosta Rd
Valdosta, GA 31602
Phone (229) 433-7350
2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139
4370 Kings Way
Ste E
Valdosta, GA 31602
Phone (229) 247-7177
Interoperability endpoints
- lguadiana49054@sgmc.gadirect.net
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Valdosta, GA
- NPI 1417597170
Family Medicine, GA
-
- Multi-Specialty Clinic/Center
- Valdosta, GA
- NPI 1114740362
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757635200000",
"number": "1598084386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4370 KINGS WAY STE E",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316026905",
"telephone_number": "229-433-8181",
"fax_number": "229-293-7803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3374 GREYSTONE WAY",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316051096",
"telephone_number": "229-247-9911",
"fax_number": "229-247-8844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUADIANA",
"first_name": "LAURA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-19",
"last_updated": "2025-09-12",
"certification_date": "2025-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "078515",
"primary": false
},
{
"code": "2083B0002X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Obesity Medicine",
"state": "GA",
"license": "78515",
"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 Sep 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.