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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

AMERICAN MEDICAL GEORGIA LLC
NPI 1043128028
Internal Medicine in Cordele, GA

Active since August 31, 2026CLIA 11D2350242 · Waiver
416 E 3RD AVE, CORDELE, GA 31015(478) 477-0966 Get Directions Write a Review

NPPES record added: August 31, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About American Medical Georgia Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMERICAN MEDICAL GEORGIA LLC (NPI 1043128028) is a healthcare organization registered as an internal medicine in Cordele, Georgia and active in the NPI registry since August 2026. The organization holds a CLIA Waiver certificate valid through September 3, 2028 and lists Jayesh Patel, Owner, as its authorized official.

NPPES Registry Identity

NPI1043128028
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameAMERICAN MEDICAL GEORGIA LLC
Location Address416 E 3RD AVECordele, GA 31015-3605
Mailing Address197 Bass RdMacon, GA 31210-2060 · (478) 477-0966
Phone(478) 477-0966
Organization SubpartNo
Authorized OfficialJayesh PatelOwner · (478) 365-2164
Enumeration DateAugust 31, 2026
NPPES CertifiedAugust 31, 2026
✔ NPI 1043128028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
416 E 3RD AVE, Cordele, GA 31015
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2350242

American Medical Georgia,llc · Cordele, GA
Active · expires Sep 3, 2028
CLIA Number11D2350242
Laboratory TypePhysician Office
Certificate Effective DateSeptember 4, 2026
Certificate Expiration DateSeptember 3, 2028
Laboratory DirectorJayesh Patel
Laboratory Phone(478) 365-2164
Laboratory LocationAmerican Medical Georgia,llc416 E 3rd Avenue, Cordele, GA 31015
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JERROLD LEE MCCLUNG SR.
Dentist (General Practice)
416 E 3RD AVE
CORDELE, GA 31015
Crisp County (229) 273-6235
TECH MEDICAL CENTER, LLC
Clinic/Center
416 E 3RD AVE
CORDELE, GA 31015
Crisp County (813) 724-3204

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is American Medical Georgia LLC's NPI number?

The NPI number for American Medical Georgia LLC is 1043128028. It was assigned to this organization in the NPPES registry on August 31, 2026.

Where is American Medical Georgia LLC located?

American Medical Georgia LLC is located at 416 E 3rd Ave, Cordele, GA 31015. The listed phone number is (478) 477-0966.

What is American Medical Georgia LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does American Medical Georgia LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2350242) is associated with this NPI, valid through September 3, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for American Medical Georgia LLC was last updated on August 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.