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Valdosta State University

Sports Medicine (Orthopaedic Surgery) Physician in Valdosta, GA · enumerated 2011 · authorized official Jay Johnson, Head Athletic Trainer.

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

National Provider Identifier

1962787804

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Registry record

Entity type Organization (Type 2)
Legal business name Valdosta State University
Other name <Unavail>
Practice address 1500 N Patterson St, Valdosta, GA, 31698
Enumeration date Oct 11, 2011
Last updated in NPPES Dec 19, 2022

Taxonomy & classification

207XX0005X Sports Medicine (Orthopaedic Surgery) Physician Allopathic & Osteopathic Physicians Primary
2255A2300X Athletic Trainer Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary

Authorized official

Name Jay Johnson
Title Head Athletic Trainer

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 is the NPI number for Valdosta State University?
The NPI for Valdosta State University is 1962787804, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Valdosta State University?
NPPES lists Jay Johnson (Head Athletic Trainer) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-12-19.