Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ST CLAIRE GITAU SUMAILI M.D.
NPI 1275911828
Family Medicine in Americus, GA

Q: 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.

Q: What is St Claire Sumaili's specialty?

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

Q: 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 24 days 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.

Active since May 15, 2015PECOS Enrolled

126 US HIGHWAY 280 W, AMERICUS, GA 31719(229) 924-6011 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 14, 2026, Jun 22, 2020 (2 updates tracked since 2020).

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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

NPI1275911828

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameST CLAIRE GITAU SUMAILICredential: M.D.

Location Address126 US HIGHWAY 280 WAmericus, GA 31719-8645

Mailing Address2403 Osler Ct Ste AAlbany, GA 31707-0205 · (229) 405-6196 · Fax (229) 261-1334

Phone(229) 924-6011

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateMay 15, 2015

Last NPPES UpdateJuly 14, 20262 updates tracked since enumeration

NPPES CertifiedJuly 14, 2026

✔ NPI 1275911828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in GA · 074538

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.

126 US HIGHWAY 280 W, Americus, GA 31719

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Other Names 1

Professional Name (2)St Claire Sumaili M.d

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID3577871094

PECOS Enrollment IDI20151002001836

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

30 services29 patients

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, GA

1/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110044

Location126 Highway 280 WAmericus, GA 31719 · Sumter County

Emergency services Birthing friendly

Physician 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.

New Patient

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

BIONKA JONES NURSE PRACTITIONER

Nurse Practitioner (Family)