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

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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