CCSG, INC.
NPI 1295120145
Internal Medicine - Cardiovascular Disease in Thomasville, GA

Active since March 30, 2015CLIA 11D2108686 · Waiver
116 MIMOSA DR, THOMASVILLE, GA 31792(229) 551-0083 Get Directions Write a Review

NPPES record last updated: November 3, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ccsg, Inc. NPPES

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

CCSG, INC. (NPI 1295120145) is a healthcare organization registered as a cardiovascular disease in Thomasville, Georgia and active in the NPI registry since March 2015. The organization holds a CLIA Waiver certificate valid through February 8, 2028 and lists Gregory Hembree, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1295120145
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameCCSG, INC.
Location Address116 MIMOSA DRThomasville, GA 31792-6605
Mailing Address116 Mimosa DrThomasville, GA 31792-6605 · (229) 551-0083
Organization SubpartNo
Authorized OfficialGregory HembreeChief Financial Officer · (229) 228-2853
Enumeration DateMarch 30, 2015
Last NPPES UpdateNovember 3, 2020
NPPES CertifiedNovember 3, 2020
✔ NPI 1295120145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
116 MIMOSA DR, Thomasville, GA 31792

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ccsg, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

25

Medicare enrollment records show 25 clinicians reassign Medicare billing to Ccsg, Inc., which bills Medicare for the services they deliver. Of these, 19 practice at this address and 21 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 3

Nurse Practitioner15
Cardiovascular Disease (Cardiology)6
Interventional Cardiology4

Nearest to this location (20)

See all 25
Nurse Practitioner
NPI 1720755192
116 MIMOSA DR
Thomasville, GA 31792
(229) 584-5670
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1295377000
116 MIMOSA DR
Thomasville, GA 31792
(229) 584-5700
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1346934528
116 MIMOSA DR
Thomasville, GA 31792
(229) 584-5570
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1508000183
116 MIMOSA DR
Thomasville, GA 31792
(229) 551-0083
✔ PECOS✔ Accepts MedicareSame address
Interventional Cardiology
NPI 1952519670
116 MIMOSA DR
Thomasville, GA 31792
(229) 551-0083
✔ PECOS✔ Accepts MedicareSame address
Interventional Cardiology
NPI 1942664263
116 MIMOSA DR
Thomasville, GA 31792
(229) 584-5570
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1568018414
116 MIMOSA DR
Thomasville, GA 31792
(229) 584-5570
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1861624173
116 MIMOSA DR
Thomasville, GA 31792
(229) 551-0083
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1134802523
116 MIMOSA DR
Thomasville, GA 31792
(229) 584-5570
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1154317055
116 MIMOSA DR
Thomasville, GA 31792
(229) 551-0083
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1821746082
116 MIMOSA DR
Thomasville, GA 31792
(229) 584-5570
✔ PECOS✔ Accepts MedicareSame address
Interventional Cardiology
NPI 1194734301
116 MIMOSA DR
Thomasville, GA 31792
(229) 551-0083
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1871929364
116 MIMOSA DR
Thomasville, GA 31792
(229) 584-5570
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1942766779
116 MIMOSA DR
Thomasville, GA 31792
(229) 584-5570
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1821473885
116 MIMOSA DR
Thomasville, GA 31792
(229) 551-0083
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1447750435
116 MIMOSA DR
Thomasville, GA 31792
(229) 584-5570
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1265379408
116 MIMOSA DR
Thomasville, GA 31792
(229) 584-5570
✔ PECOSSame address
Nurse Practitioner
NPI 1376121426
116 MIMOSA DR
Thomasville, GA 31792
(229) 584-5570
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1386501575
116 MIMOSA DR
Thomasville, GA 31792
(229) 551-0083
✔ PECOS✔ Accepts MedicareSame address
Interventional Cardiology
NPI 1306152855
100 MIMOSA DR
Thomasville, GA 31792
(229) 551-0083
✔ PECOS✔ Accepts Medicare0.1 mi
See all 25 clinicians

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 11D2108686

Ccsg, Inc · Thomasville, GA
Active · expires Feb 8, 2028
CLIA Number11D2108686
Laboratory TypePhysician Office
Certificate Effective DateFebruary 9, 2026
Certificate Expiration DateFebruary 8, 2028
Laboratory DirectorGainous Joy
Laboratory Phone(229) 551-0083
Laboratory LocationCcsg, Inc116 Mimosa Drive, Thomasville, GA 31792
CLIA data matches this NPI record on: Address Phone
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 Ccsg, Inc.'s NPI number?

The NPI number for Ccsg, Inc. is 1295120145. It was assigned to this organization in the NPPES registry on March 30, 2015.

Where is Ccsg, Inc. located?

Ccsg, Inc. is located at 116 Mimosa Dr, Thomasville, GA 31792. The listed phone number is (229) 551-0083.

What is Ccsg, Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Ccsg, Inc. enrolled in Medicare?

Yes. Ccsg, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ccsg, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 25 clinicians in 3 Medicare specialties reassign their Medicare billing to Ccsg, Inc.. 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. The largest specialties are Nurse Practitioner (15), Cardiovascular Disease (Cardiology) (6) and Interventional Cardiology (4). Of these, 19 practice at this address and 21 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Ccsg, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2108686) is associated with this NPI, valid through February 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ccsg, Inc. 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 Ccsg, Inc. 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 Ccsg, Inc. was last updated on November 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.