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Healthsource Medical Clinic PC

Family Nurse Practitioner in Valdosta, GA · enumerated 2010 · authorized official Cristi Godwin, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1619271103

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Registry record

Entity type Organization (Type 2)
Legal business name Healthsource Medical Clinic PC
Practice address 1609 Norman Dr, Ste A-1, Valdosta, GA, 31601
Phone (229) 245-1004
Fax (229) 245-1074
Enumeration date Dec 27, 2010
Last updated in NPPES Jan 13, 2016

Taxonomy & classification

363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License RN130256 (GA) Primary

Authorized official

Name Cristi Godwin
Title President
Phone (229) 245-1004

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Healthsource Medical Clinic PC?
Healthsource Medical Clinic PC is registered in NPPES as a Family Nurse Practitioner (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-01-13.