Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Bennett P Hogan, MD

Individual provider Family Medicine Physician · NPI 1205891397

Bennett P Hogan, MD is a Family Practice in Valdosta, Georgia. Graduated from Mercer University School of Medicine in 1998, 28 years ago. Practices with Sgmc Physician Network Inc, a 127-clinician group. Licensed in Georgia.

Years since qualifying
28
Trained at
Mercer University School of Medicine
Licensed in
GA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

117 W Northside Dr
Valdosta, GA 31602-1700
Phone: (229) 333-0616
Fax: (229) 333-0647
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 050024 (GA)

Record details

NPI number1205891397
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 20, 2006
Last updated in NPPESJune 27, 2012
Mailing address117 W Northside Dr, Valdosta, GA 31602-1700

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolMERCER UNIVERSITY SCHOOL OF MEDICINE
Graduated 1998 (28 years in practice)
Group practice Sgmc Physician Network Inc — 127 clinicians
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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