SOUTHEAST GEORGIA HEALTH SERVICES, L.L.C.


Address: 1900 Tebeau St, Waycross, GA 31501-6357
Phone: 9122833030

SOUTHEAST GEORGIA HEALTH SERVICES, L.L.C. (NPI# 1922530468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922530468
Entity Type Organization
Organization Name SOUTHEAST GEORGIA HEALTH SERVICES, L.L.C.
Other Organization Name MEMORIAL SATILLA HEALTH
Practice Address 1900 Tebeau St
Waycross
GA 31501-6357
Practice Telephone 9122833030
Practice Fax Number 9122872505
Mailing Telephone 9122833030
Mailing Fax Number 9122872505
Enumeration Date 2017-04-03
Last Update Date 2017-04-04
Authorized Official Name TIM LYNCH (INTERIM CFO)
Authorized Official Telephone 9122872500
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 282NR1301X General Acute Care Hospital
Specialization: Rural
Hospitals

Other Provider/Organization Names

Other Name Type Code
Memorial Satilla Health Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1386177798 Southeast Georgia Health Services, L.L.C. Rehabilitation Unit 2500 Satilla Pkwy, Waycross, GA 31503-8852 2017-04-04
1093248486 Southeast Georgia Health Services, L.L.C. Psychiatric Unit 1900 Tebeau St, Waycross, GA 31501-6357 2017-04-04

Office Location

Street Address 1900 TEBEAU ST
City WAYCROSS
State GA
Zip Code 31501-6357

Providers in the same location

NPI Name Taxonomy Address Enumeration
1235112913 James H Bloodworth Pathology 1900 Tebeau St, Waycross, GA 31501 2005-11-28
1740893148 Colleen Chloe Mcconnell Physician Assistant 1900 Tebeau St, Waycross, GA 31501-6357 2020-08-25
1720619554 Tierra Carter Nurse Practitioner 1900 Tebeau St, Waycross, GA 31501-6357 2020-01-30
1336791425 Jana Revels Nurse Practitioner 1900 Tebeau St, Waycross, GA 31501-6357 2019-07-10
1174188668 Carly Zoe Swett Physician Assistant 1900 Tebeau St, Waycross, GA 31501-6357 2019-05-09
1902374911 Georgia Infectious Disease Consultants Internal Medicine 1900 Tebeau St, Waycross, GA 31501-6357 2018-11-07
1851869150 Stacy Heather Exum Edgar Nurse Practitioner 1900 Tebeau St, Waycross, GA 31501-6357 2018-11-05
1831665389 Mikayla Brittney Freeman Physician Assistant 1900 Tebeau St, Emergency Department, Waycross, GA 31501 2018-10-22
1629544358 Anna Marie Bogdanov Physician Assistant 1900 Tebeau St, Waycross, GA 31501 2018-10-20
1306368329 Carmen Yolanda Jackson Nurse Practitioner 1900 Tebeau St, Waycross, GA 31501-6357 2017-07-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962906115 Davenport Health Pa Family Medicine 1401 Cherokee Drive, Waycross, GA 31501 2018-03-22
1962940478 Blake Darren Aldridge Physical Therapy Assistant 401 Preston Street, Waycross, GA 31501 2017-02-03
1669922142 Jebediah S. Christy Dds - Waycross Pllc Dentist 2271 Memorial Dr, Waycross, GA 31501 2016-10-10
1558721944 Jana Kirby Massage Therapist 1599 Knight Ave., Kallman Chiropractic Center, Waycross, GA 31501 2016-02-29
1962877001 Courtney Baldwin Specialist/Technologist, Other 2403 Spurgeon St, Waycross, GA 31501 2015-12-01
1912389784 Grayson Stuart Griffis Dentist 2103 Tebeau St., Waycross, GA 31501 2015-06-29
1730561267 Trishla Amit Desai Internal Medicine Memorial Satilla Health, 1900 Tebeau Street, Waycross, GA 31501 2015-06-20
1316330913 Hanger Prosthetics & Orthotics, Inc. Prosthetic/Orthotic Supplier 512 City Blvd Ste H, Waycross, GA 31501 2015-03-06
1942699079 Jose Ramon Martinez Anesthesiology 701 City Blvd, Waycross, GA 31501 2015-01-13
1023356714 Orthopedics Surgeons of Georgia, LLC Orthopaedic Surgery 2015 Alice Street, Waycross, GA 31501 2013-01-30
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Taxonomy Information

Taxonomy Code 282NR1301X
Grouping Hospitals
Classification General Acute Care Hospital
Specialization Rural

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558334334 Mayo Clinic Health System In Waycross, Inc General Acute Care Hospital 1900 Tebeau Street, Waycross, GA 31501 2006-02-10

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1972969160 Debra D Rathbun General Acute Care Hospital 192 Lobinger Ave, Fitzgerald, GA 31750-8181 2016-01-05
1326304486 Ty Cobb Regional Medical Center LLC General Acute Care Hospital 367 Clear Creek Parkway, Lavonia, GA 30553 2012-04-03
1053400689 Bacon Co. Health Services, Inc. General Acute Care Hospital 3406 Wildwood Ave., Patterson, GA 31557-5065 2006-10-12
1518051556 Eugene Suarez Rodillo General Acute Care Hospital 111 South Webb Street, Hartwell, GA 30643 2006-10-03
1245248624 Hospital Authority of Ben Hill General Acute Care Hospital 200 Perry House Rd, Fitzgerald, GA 31750-8857 2006-08-03
1700851649 Crisp Regional Hospital Inc General Acute Care Hospital 902 7th St North, Cordele, GA 31010 2006-02-22
1588646251 Wheeler County Hospital General Acute Care Hospital 111 N Third St, Glenwood, GA 30428-2301 2005-11-17
1952395097 Southern Health Corp of Ellijay General Acute Care Hospital 1362 S Main St, 822 Industrial Blvd; 60 Old Highway 5 South, Ellijay, GA 30540-5410 2005-09-05
1588661672 Americus & Sumter County Hospital Authority General Acute Care Hospital 100 Wheatley Dr, Americus, GA 31709-3788 2005-07-05
1700883246 Durall Capital Holdings, LLC General Acute Care Hospital 227 Mountain Drive, Dahlonega, GA 30533 2005-06-30
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Competitor

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City WAYCROSS
Zip Code 31501

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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