ST CLAIRE GITAU SUMAILI M.D.
NPI 1275911828
Family Medicine in Americus, GA
About St Claire Gitau Sumaili M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ST CLAIRE GITAU SUMAILI M.D. (NPI 1275911828) is an individual family medicine provider in Americus, Georgia, licensed in Georgia (074538) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS, is affiliated with Phoebe Sumter Medical Center, and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
St Claire Gitau Sumaili M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show St Claire Sumaili reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Americus, GA 31719
- Reassigned Medicare billing, Georgia enrollment
- 121 clinicians in this Medicare group
Albany, GA 31707
- Reassigned Medicare billing, Georgia enrollment
- Medicare enrollment name: Phoebe Physician Group Inc
- 1,118 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Phoebe Sumter Medical Center
Acute Care Hospitals · Americus, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 31719 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
AMERICUS, GA 31719
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 St Claire Sumaili's NPI number?
The NPI number for St Claire Sumaili is 1275911828. It was assigned to this individual provider in the NPPES registry on May 15, 2015. The provider is also known as St Claire Sumaili M.D.
Where is St Claire Sumaili located?
St Claire Sumaili practices at 126 Us Highway 280 W, Americus, GA 31719. The listed phone number is (229) 924-6011.
What is St Claire Sumaili's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is St Claire Sumaili enrolled in Medicare?
Yes. St Claire Sumaili is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for St Claire Sumaili's services?
According to the CMS Revalidation Reassignment List (October 2026 release), St Claire Sumaili reassigns Medicare benefits to 2 organizations: Albany Area Primary Health Care, Inc. (Americus, GA) and Phoebe Gastroenterology Associates (Albany, GA). Each 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 St Claire Sumaili's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does St Claire Sumaili accept?
Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list St Claire Sumaili 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.
Is St Claire Sumaili affiliated with any hospitals?
According to CMS data, St Claire Sumaili is affiliated with Phoebe Sumter Medical Center.
When was this NPI record last updated?
The NPPES record for St Claire Sumaili was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# St Claire Gitau Sumaili, M.D. · NPI 1275911828
Family Medicine physician in Americus, Georgia. Individual provider, active in the CMS NPPES registry since May 15, 2015.
## Identity
- **NPI:** 1275911828 (Entity type: Individual)
- **Enumerated:** May 15, 2015
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 074538 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 126 US HIGHWAY 280 W, Americus, GA 31719-8645
- **Phone:** (229) 924-6011
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Albany Area Primary Health Care, Inc. (NPI 1700584505, Americus, GA); Phoebe Gastroenterology Associates (NPI 1659627131, Albany, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** July 14, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1275911828) · Data from the CMS NPPES public registry.