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

Lucas Seibolt, MD

Individual provider Internal Medicine Physician · NPI 1588074140

Lucas Seibolt, MD is a Cardiovascular Disease (Cardiology) in Valdosta, Georgia. Qualified in 2014, 12 years ago. Practices with Sgmc Physician Network Inc, a 127-clinician group and accepts Medicare assignment. Licensed in Arizona, Georgia and Indiana.

Years since qualifying
12
Licensed in
AZ, GA, IN
In the registry since
2014
Specialties on file
6
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

2409 N Patterson St Ste 310
Valdosta, GA 31602-2512
Phone: (229) 433-8160
Fax: (229) 244-2707
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence 88599 (GA)
Internal Medicine Physician Taxonomy 207R00000X · Licence R74418 (AZ)
Internal Medicine Physician Taxonomy 207R00000X · Licence 54189 (AZ)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 01083408A (IN)
Nuclear Cardiology Physician Taxonomy 207UN0901X · Licence 252293 (AZ)
Computed Tomography Radiologic Technologist Taxonomy 2471C3401X · Licence 252293 (AZ)

Record details

NPI number1588074140
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 5, 2014
Last updated in NPPESOctober 26, 2022
Certification dateOctober 26, 2022
Mailing address2409 N Patterson St Ste 310, Valdosta, GA 31602-2512

Medicare enrollment

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

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Sgmc Physician Network Inc — 127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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