Southern Family Medicine of Georgia, LLC
NPI 1528299393ActiveOrganization· Family Medicine· Statesboro, GA
Family Medicine in Statesboro, Georgia, registered in NPPES in July 2009. The authorized official on file is Cindy R. Rush, Billing Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1528299393 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 28, 2009 |
| Last updated in NPPES | Aug 8, 2023 |
| Certified by provider | Aug 8, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 43354 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (GA) |
|---|
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