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INTERNAL MEDICINE OF SOUTHEAST GEORGIA
NPI 1154543106
Internal Medicine in Jesup, GA

Active since May 02, 2007
351 PEACHTREE ST, JESUP, GA 31545(912) 530-6582(912) 530-6584 Get Directions Write a Review

NPPES record last updated: November 7, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 7, 2025, Jan 17, 2018 (2 updates tracked since 2018).

About Internal Medicine Of Southeast Georgia NPPES

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

INTERNAL MEDICINE OF SOUTHEAST GEORGIA (NPI 1154543106) is a healthcare organization registered as an internal medicine in Jesup, Georgia and active in the NPI registry since May 2007. The organization lists S Lance Hendrix, President, as its authorized official.

NPPES Registry Identity

NPI1154543106
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameINTERNAL MEDICINE OF SOUTHEAST GEORGIA
Location Address351 PEACHTREE STJesup, GA 31545-0245
Mailing Address351 Peachtree StJesup, GA 31545-0245 · (912) 530-6582 · Fax (912) 530-6584
Phone(912) 530-6582
Fax(912) 530-6584
Organization SubpartNo
Authorized OfficialS Lance HendrixPresident · (912) 530-6582
Enumeration DateMay 2, 2007
Last NPPES UpdateNovember 7, 20252 updates tracked since enumeration
NPPES CertifiedNovember 7, 2025
✔ NPI 1154543106 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.
351 PEACHTREE ST, Jesup, GA 31545
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Other Identifiers 4

OtherDF9280GA · Railroad Medicare Group
OtherN371138GA · Wellcare
Medicaid189166661BGA
Other2781716GA · United Healthcare

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)

Internal Medicine Of Southeast Georgia 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 Internal Medicine Of Southeast Georgia, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Chelsey Carter, MD
Internal Medicine
NPI 1881344133
351 PEACHTREE ST
Jesup, GA 31545
(912) 530-6582
✔ PECOS✔ Accepts MedicareSame address
Sydney Hendrix, M.D.
Internal Medicine
NPI 1679643712
351 PEACHTREE ST
Jesup, GA 31545
(912) 530-6582
✔ PECOS✔ Accepts MedicareSame address
Brandi Reynolds, APRN, FNP-C, FNP-BC
Nurse Practitioner
NPI 1205528940
351 PEACHTREE ST
Jesup, GA 31545
(912) 530-6582
✔ PECOS✔ Accepts MedicareSame address
Vanessa Moseley, NP
Nurse Practitioner
NPI 1114351822
2015 ALICE ST
Waycross, GA 31501
(912) 283-2120
✔ PECOS✔ Accepts Medicare37 mi

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

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 Internal Medicine Of Southeast Georgia's NPI number?

The NPI number for Internal Medicine Of Southeast Georgia is 1154543106. It was assigned to this organization in the NPPES registry on May 2, 2007.

Where is Internal Medicine Of Southeast Georgia located?

Internal Medicine Of Southeast Georgia is located at 351 Peachtree St, Jesup, GA 31545. The listed phone number is (912) 530-6582.

What is Internal Medicine Of Southeast Georgia's specialty?

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

Is Internal Medicine Of Southeast Georgia enrolled in Medicare?

Yes. Internal Medicine Of Southeast Georgia is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Internal Medicine Of Southeast Georgia?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Internal Medicine Of Southeast Georgia, in Internal Medicine and Nurse Practitioner. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Internal Medicine Of Southeast Georgia was last updated on November 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.