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SOUTHERN FAMILY MEDICAL CENTER PC
NPI 1083785349
Family Medicine in Augusta, GA

Active since November 10, 2006CLIA 11D1003592 · Microscopy
3736 MIKE PADGETT HWY STE A, AUGUSTA, GA 30906(706) 560-2273(706) 560-0903 Get Directions Write a Review

NPPES record last updated: December 7, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Southern Family Medical Center Pc NPPES

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

SOUTHERN FAMILY MEDICAL CENTER PC (NPI 1083785349) is a healthcare organization registered as a family medicine in Augusta, Georgia and active in the NPI registry since November 2006. The organization holds a CLIA Microscopy certificate valid through September 4, 2028 and lists Mike Hodnick, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1083785349
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSOUTHERN FAMILY MEDICAL CENTER PC
Location Address3736 MIKE PADGETT HWY STE AAugusta, GA 30906-0720
Mailing Address3736 Mike Padgett Hwy Ste AAugusta, GA 30906-0720 · (706) 560-2273 · Fax (706) 560-0903
Phone(706) 560-2273
Fax(706) 560-0903
Organization SubpartNo
Authorized OfficialMike HodnickPractice Manager · (706) 560-2273
Enumeration DateNovember 10, 2006
Last NPPES UpdateDecember 7, 2012
✔ NPI 1083785349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3736 MIKE PADGETT HWY STE A, Augusta, GA 30906
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Other Identifiers 2

MedicaidGRPGPA904SC
Medicare ID-Type UnspecifiedGRP6520GA · Medicare Group Number

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southern Family Medical Center Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Southern Family Medical Center PC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Sean Lynch, DO
Family Practice
NPI 1134142474
3736 MIKE PADGETT HWY STE A
Augusta, GA 30906
(706) 560-2273
✔ PECOS✔ Accepts MedicareSame address
James Walton, M.D.
Family Practice
NPI 1578724779
3736 MIKE PADGETT HWY STE A
Augusta, GA 30906
(706) 560-2273
✔ PECOS✔ Accepts MedicareSame address
Lauren Jackson, MD
Family Practice
NPI 1861874380
3736 MIKE PADGETT HWY STE A
Augusta, GA 30906
(706) 560-2273
✔ PECOS✔ Accepts MedicareSame address
Justin Wilkie, MD
Family Practice
NPI 1699930891
300 E HOSPITAL RD
Fort Eisenhower, GA 30905
(706) 787-9052
✔ PECOS✔ Accepts Medicare8.7 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 for Provider-Performed Microscopy Procedures (PPMP) 11D1003592

Southern Family Medical Center PC · Augusta, GA
Active · expires Sep 4, 2028
CLIA Number11D1003592
Laboratory TypePhysician Office
Certificate Effective DateSeptember 5, 2026
Certificate Expiration DateSeptember 4, 2028
Laboratory DirectorSean T E Lynch
Laboratory Phone(706) 560-2273
Laboratory LocationSouthern Family Medical Center PC3736 A Mike Padgett Highway, Augusta, GA 30906
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Southern Family Medical Center PC's NPI number?

The NPI number for Southern Family Medical Center PC is 1083785349. It was assigned to this organization in the NPPES registry on November 10, 2006.

Where is Southern Family Medical Center PC located?

Southern Family Medical Center PC is located at 3736 Mike Padgett Hwy Ste A, Augusta, GA 30906. The listed phone number is (706) 560-2273.

What is Southern Family Medical Center PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Southern Family Medical Center PC enrolled in Medicare?

Yes. Southern Family Medical Center PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southern Family Medical Center PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Family Practice, reassign their Medicare billing to Southern Family Medical Center PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Southern Family Medical Center PC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 11D1003592) is associated with this NPI, valid through September 4, 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 Southern Family Medical Center PC was last updated on December 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.