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EAST GEORGIA INTERNAL MEDICINE ,LLC
NPI 1194835280
Internal Medicine in Augusta, GA

Active since August 30, 2006CLIA 11D0969031 · Waiver
811 13TH ST, SUITE 11, AUGUSTA, GA 30901(706) 736-4154(706) 736-4155 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About East Georgia Internal Medicine ,llc NPPES

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

EAST GEORGIA INTERNAL MEDICINE ,LLC (NPI 1194835280) is a healthcare organization registered as an internal medicine in Augusta, Georgia and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through January 2, 2028 and lists Oladapo O Fawibe, Director, as its authorized official.

NPPES Registry Identity

NPI1194835280
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameEAST GEORGIA INTERNAL MEDICINE ,LLC
Location Address811 13TH ST, SUITE 11Augusta, GA 30901-2700
Mailing AddressPo Box 3407Augusta, GA 30914-3407 · (706) 736-4154 · Fax (706) 736-4155
Phone(706) 736-4154
Fax(706) 736-4155
Organization SubpartNo
Authorized OfficialOladapo O FawibeDirector · (706) 736-4154
Enumeration DateAugust 30, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1194835280 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.
811 13TH ST, Augusta, GA 30901
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

East Georgia Internal Medicine ,llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to East Georgia Internal Medicine ,llc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Oladapo Fawibe, MD
Internal Medicine
NPI 1225031651
811 13TH ST SUITE 11
Augusta, GA 30901
(706) 823-6177
✔ PECOS✔ Accepts MedicareSame address
Abiy Mekoya, MD
Internal Medicine
NPI 1023064938
2260 WRIGHTSBORO RD
Augusta, GA 30904
(706) 774-5795
✔ PECOS✔ Accepts Medicare2.3 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 of Waiver 11D0969031

East Georgia Internal Medicine LLC · Augusta, GA
Active · expires Jan 2, 2028
CLIA Number11D0969031
Laboratory TypePhysician Office
Certificate Effective DateJanuary 3, 2026
Certificate Expiration DateJanuary 2, 2028
Laboratory DirectorOladapo O. Fawibe MD
Laboratory Phone(706) 823-6177
Laboratory LocationEast Georgia Internal Medicine LLC811 13th Street Suite 11, Augusta, GA 30901
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only 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 East Georgia Internal Medicine ,llc's NPI number?

The NPI number for East Georgia Internal Medicine ,llc is 1194835280. It was assigned to this organization in the NPPES registry on August 30, 2006.

Where is East Georgia Internal Medicine ,llc located?

East Georgia Internal Medicine ,llc is located at 811 13th St Suite 11, Augusta, GA 30901. The listed phone number is (706) 736-4154.

What is East Georgia Internal Medicine ,llc's specialty?

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

Is East Georgia Internal Medicine ,llc enrolled in Medicare?

Yes. East Georgia Internal Medicine ,llc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through East Georgia Internal Medicine ,llc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Internal Medicine, reassign their Medicare billing to East Georgia Internal Medicine ,llc. 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, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does East Georgia Internal Medicine ,llc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0969031) is associated with this NPI, valid through January 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does East Georgia Internal Medicine ,llc accept?

Health plans from BlueCross BlueShield of South Carolina list East Georgia Internal Medicine ,llc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for East Georgia Internal Medicine ,llc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.