Healthsource Medical Clinic PC
NPI 1619271103ActiveOrganization· Nurse Practitioner, Family· Valdosta, GA
Nurse Practitioner, Family in Valdosta, Georgia, registered in NPPES in December 2010. The authorized official on file is Cristi Leigh Godwin, NP-C, President.
Overview
| NPI | 1619271103 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 27, 2010 |
| Last updated in NPPES | Jan 13, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | RN130256 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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