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

Justin Mark Booth, AA

Individual provider Anesthesiologist Assistant · NPI 1306090675

Justin Mark Booth, AA is an Anesthesiology Assistant in Valdosta, Georgia. Qualified in 2008, 18 years ago. Practices with Valdosta Anesthesia Associates, PC, a 43-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
18
Licensed in
GA
In the registry since
2008

Practice location Address checks out

2310 N Patterson St Bldg C
Valdosta, GA 31602-2568
Phone: (229) 244-6852
Fax: (229) 242-2385
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X · Licence 005470 (GA)

Record details

NPI number1306090675
Entity typeIndividual (Type 1)
GenderMale
Credentials AA
Sole proprietorNo
NPI enumeratedNovember 12, 2008
Last updated in NPPESNovember 12, 2008
Mailing address2310 N Patterson St, Bldg C, Valdosta, GA 31602-2568

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Valdosta Anesthesia Associates, P.C. — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Valdosta