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MEMORIAL SATILLA SPECIALISTS, LLC
NPI 1295266955
General Practice in Waycross, GA

Active since March 24, 2017CLIA 11D2031124 · Waiver
1921 ALICE ST STE B, WAYCROSS, GA 31501(912) 490-0722(912) 490-7227 Get Directions Write a Review

NPPES record last updated: March 24, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Memorial Satilla Specialists, Llc NPPES

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

MEMORIAL SATILLA SPECIALISTS, LLC (NPI 1295266955) is a healthcare organization registered as a general practice in Waycross, Georgia and active in the NPI registry since March 2017. The organization holds a CLIA Waiver certificate valid through June 9, 2028 and lists Robert Ali Faile, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1295266955
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameMEMORIAL SATILLA SPECIALISTS, LLC
Location Address1921 ALICE ST STE BWaycross, GA 31501-6200
Mailing Address1921 Alice St Ste BWaycross, GA 31501-6200 · (912) 490-0722 · Fax (912) 490-7227
Phone(912) 490-0722
Fax(912) 490-7227
Organization SubpartNo
Authorized OfficialRobert Ali FaileAuthorized Official · (843) 956-7923
Enumeration DateMarch 24, 2017
✔ NPI 1295266955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1921 ALICE ST STE B, Waycross, GA 31501
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Memorial Satilla Specialists, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

26

Medicare enrollment records show 26 clinicians reassign Medicare billing to Memorial Satilla Specialists, LLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 14 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 11

Nurse Practitioner8
General Surgery3
Interventional Cardiology3
Orthopedic Surgery3
Internal Medicine2
Obstetrics/Gynecology2
Cardiovascular Disease (Cardiology)1
Neurology1
3 other specialties3

Nearest to this location (20)

See all 26
David Wykstra, M.D.
General Surgery
NPI 1285855148
1908 ALICE ST
Waycross, GA 31501
(912) 338-6010
✔ PECOSSame address
Sigismund Lee, M.D.
General Surgery
NPI 1194974048
1908 ALICE ST
Waycross, GA 31501
(912) 338-6010
✔ PECOSSame address
Robert Pilcher, M.D.,PHD
Orthopedic Surgery
NPI 1376549170
1908 ALICE ST
Waycross, GA 31501
(912) 338-6010
✔ PECOSSame address
Eduardo Venegas, M.D.
Interventional Cardiology
NPI 1457701112
1921 ALICE ST STE 4A
Waycross, GA 31501
(912) 284-2460
✔ PECOSSame address
Timothy Catchings, MD
Cardiovascular Disease (Cardiology)
NPI 1841239670
2004 PIONEER ST
Waycross, GA 31501
(912) 284-2460
✔ PECOS0.1 mi
Tara Smith, APRN,FNP-C, PMHNP-BC
Nurse Practitioner
NPI 1134505118
1900 TEBEAU ST
Waycross, GA 31501
(912) 338-6338
✔ PECOS0.1 mi
Jana Revels, NP
Nurse Practitioner
NPI 1336791425
1900 TEBEAU ST
Waycross, GA 31501
(912) 283-3030
✔ PECOS0.1 mi
Manel Nayak, M.D.
Pulmonary Disease
NPI 1902818073
2005 PIONEER ST SUITE C
Waycross, GA 31501
(912) 338-9704
✔ PECOS0.1 mi
Gabrielle Gunter, FNP-C
Nurse Practitioner
NPI 1164952602
2005 PIONEER ST STE C
Waycross, GA 31501
(912) 490-4805
✔ PECOS0.1 mi
Nimi Patel
Neurology
NPI 1235410911
2101 TEBEAU ST
Waycross, GA 31501
(912) 285-5690
✔ PECOS0.3 mi
Yolanda Borders, M.D.
Obstetrics/Gynecology
NPI 1841483914
505 CITY BLVD
Waycross, GA 31501
(912) 490-2229
✔ PECOS0.5 mi
Traci Howard, FNP-BC
Nurse Practitioner
NPI 1407382021
505 CITY BLVD
Waycross, GA 31501
(912) 490-2229
✔ PECOS0.5 mi
Kalie Mathis, NP-C
Nurse Practitioner
NPI 1679248124
505 CITY BLVD
Waycross, GA 31501
(912) 490-2229
✔ PECOS0.5 mi
Jennifer Rafus, M.S., FNP, LIC. AC.
Nurse Practitioner
NPI 1114007630
615A PENDLETON ST
Waycross, GA 31501
(912) 548-0710
✔ PECOS1.2 mi
Jennifer Dowling, NP
Nurse Practitioner
NPI 1770098410
1126 W 12TH ST
Alma, GA 31510
(912) 632-7300
✔ PECOS23 mi
Charles Rewis, NP-C
Nurse Practitioner
NPI 1235695990
228 MEMORIAL DR
Jesup, GA 31545
(912) 352-1700
✔ PECOS37 mi
Philip Villiotte, M.D.
Radiation Oncology
NPI 1881643443
406 YACHT CLUB LN
Saint Simons Island, GA 31522
(207) 944-1440
✔ PECOS✔ Accepts Medicare55 mi
Babu Chithriki, M.D.
Obstetrics/Gynecology
NPI 1437119054
13241 BARTRAM PARK BLVD UNIT 1509
Jacksonville, FL 32258
(904) 680-0055
✔ PECOS89 mi
Gregory Kalv, M.D.
Orthopedic Surgery
NPI 1033347638
1499 WALTON WAY SUITE 1400
Augusta, GA 30901
(706) 721-1633
✔ PECOS✔ Accepts Medicare156 mi
Dhiraj Warman, MD
Internal Medicine
NPI 1184787509
10441 QUALITY DR STE 300
Spring Hill, FL 34609
(352) 683-3136
✔ PECOS✔ Accepts Medicare192 mi
See all 26 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 11D2031124

Memorial Satilla Specialists, LLC · Waycross, GA
Active · expires Jun 9, 2028
CLIA Number11D2031124
Laboratory TypePhysician Office
Certificate Effective DateJune 10, 2026
Certificate Expiration DateJune 9, 2028
Laboratory DirectorDr. Yolanda M. Border
Laboratory Phone(912) 490-2229
Laboratory LocationMemorial Satilla Specialists, LLC505 South City Blvd, Waycross, GA 31501
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Inpatient Rehabilitation Quality CMS Care Compare

Quality measures, patient outcomes and conditions treated for Memorial Satilla Hospital (CMS certification number 11T003), from CMS Care Compare.

Memorial Satilla Hospital

Inpatient rehabilitation facility · Waycross, GA
OwnershipNon-profit
CMS Certification Number11T003
Medicare-Certified SinceJanuary 1, 2017
Location2500 Satilla ParkwayWaycross, GA 31503
Phone(478) 297-0349
Rehabilitation unit within a hospital

Conditions Treated

Medicare patient stays by the condition that brought the patient to rehabilitation
Hip or femur fracture
72
patient stays
Stroke
60
patient stays
Hip or knee replacement, amputation or other bone or joint condition
37
patient stays
Brain disease or condition (non-traumatic)
13
patient stays
Spinal cord disease or condition (non-traumatic)
13
patient stays
Brain injury (traumatic)
Less than 11 patient stays
Nervous system disorder (excluding stroke)
Less than 11 patient stays
All other conditions
78
patient stays
Counts reflect Medicare patient stays reported to CMS. CMS reports counts under 11 as "Less than 11" to protect patient privacy.

Quality Measures

Medications reviewed, with follow-up when issues were found
Drug Regimen Review · 282 patient stays
97.9%
Patients given a current list of their medications at discharge
Transfer of Health Information to the Patient · 255 patient stays
32.2%
Medication list sent to the next provider at discharge
Transfer of Health Information to the Provider · 25 patient stays
84%
Patients who meet or exceed the self-care ability expected for their condition at discharge
Discharge Self-Care Score · 245 patient stays
77.6%
Patients who meet or exceed the mobility expected for their condition at discharge
Discharge Mobility Score · 245 patient stays
77.1%
Patients who meet or exceed the overall function expected at discharge
Discharge Function Score · 245 patient stays
68.16%
Patients who experienced one or more falls with major injury during their stay
282 patient stays · Lower rates are better for this measure.
0.4%
Patients with pressure ulcers or injuries that are new or worsened
Risk-adjusted rate · 280 patient stays · observed rate 0.7% · Lower rates are better for this measure.
0.7%
Healthcare workers up to date on COVID-19 vaccination
26 healthcare workers
0%
Measures are reported under the CMS Inpatient Rehabilitation Facility Quality Reporting Program. Reporting periods vary by measure (October 2021 to December 2023). Measures without current CMS data are not shown.

Discharge, Readmission & Medicare Spending

Patients discharged to home or the community
132 of 227 patient stays · observed rate 58.15%
58.56%
risk-standardized rate
Worse than the National Rate
Potentially preventable readmissions within 30 days after discharge
23 readmissions of 222 patient stays · observed rate 10.36% · Lower rates are better for this measure.
9.69%
risk-standardized rate
No Different than the National Rate
Potentially preventable readmissions during the rehabilitation stay
14 readmissions of 244 patient stays · observed rate 5.74% · Lower rates are better for this measure.
5.55%
risk-standardized rate
No Different than the National Rate
Medicare spending per episode of care
1.00 = national average per episode of care · based on 234 episodes
1.02
spending ratio
Risk-standardized rates account for differences in patient condition mix. Comparison labels are assigned by CMS.

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 Memorial Satilla Specialists, LLC's NPI number?

The NPI number for Memorial Satilla Specialists, LLC is 1295266955. It was assigned to this organization in the NPPES registry on March 24, 2017.

Where is Memorial Satilla Specialists, LLC located?

Memorial Satilla Specialists, LLC is located at 1921 Alice St Ste B, Waycross, GA 31501. The listed phone number is (912) 490-0722.

What is Memorial Satilla Specialists, LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Memorial Satilla Specialists, LLC enrolled in Medicare?

Yes. Memorial Satilla Specialists, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Memorial Satilla Specialists, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 26 clinicians in 11 Medicare specialties reassign their Medicare billing to Memorial Satilla Specialists, 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. The largest specialties are Nurse Practitioner (8), General Surgery (3) and Interventional Cardiology (3). Of these, 4 practice at this address and 14 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Memorial Satilla Specialists, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2031124) is associated with this NPI, valid through June 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Memorial Satilla Specialists, LLC a Medicare-certified inpatient rehabilitation facility?

Yes. Memorial Satilla Hospital is a Medicare-certified inpatient rehabilitation facility (CMS certification number 11T003), certified since January 1, 2017.

When was this NPI record last updated?

The NPPES record for Memorial Satilla Specialists, LLC was last updated on March 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.