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

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