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SOUTHERN INTERNAL MEDICINE LLC
NPI 1316121619
Internal Medicine in Dublin, GA

Active since December 21, 2007CLIA 11D1081579 · Waiver

NPPES record last updated: December 21, 2007. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Southern Internal Medicine Llc NPPES

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

SOUTHERN INTERNAL MEDICINE LLC (NPI 1316121619) is a healthcare organization registered as an internal medicine in Dublin, Georgia and active in the NPI registry since December 2007. The organization holds a CLIA Waiver certificate valid through March 19, 2028 and lists Manojkumar Chandulal Patel, Officer, as its authorized official.

NPPES Registry Identity

NPI1316121619
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSOUTHERN INTERNAL MEDICINE LLC
Location Address106 ROWE STDublin, GA 31021-5238
Mailing Address106 Rowe StDublin, GA 31021-5238
Phone(478) 272-0353
Organization SubpartNo
Authorized OfficialManojkumar Chandulal PatelOfficer · (478) 272-0353
Enumeration DateDecember 21, 2007
✔ NPI 1316121619 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.
106 ROWE ST, Dublin, GA 31021
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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southern Internal Medicine Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Southern Internal Medicine LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Manojkumar Patel
Internal Medicine
NPI 1932134830
106 ROWE ST
Dublin, GA 31021
(478) 272-0353
✔ PECOS✔ Accepts MedicareSame address

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 11D1081579

Southern Internal Medicine LLC · Dublin, GA
Active · expires Mar 19, 2028
CLIA Number11D1081579
Laboratory TypePhysician Office
Certificate Effective DateMarch 20, 2026
Certificate Expiration DateMarch 19, 2028
Laboratory DirectorManojkumar C. Patel
Laboratory Phone(478) 272-0353
Laboratory LocationSouthern Internal Medicine LLC106 Rowe Street, Dublin, GA 31021
CLIA data matches this NPI record on: Address Name 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 Southern Internal Medicine LLC's NPI number?

The NPI number for Southern Internal Medicine LLC is 1316121619. It was assigned to this organization in the NPPES registry on December 21, 2007.

Where is Southern Internal Medicine LLC located?

Southern Internal Medicine LLC is located at 106 Rowe St, Dublin, GA 31021. The listed phone number is (478) 272-0353.

What is Southern Internal Medicine LLC's specialty?

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

Is Southern Internal Medicine LLC enrolled in Medicare?

Yes. Southern Internal Medicine LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southern Internal Medicine LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Southern 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Southern Internal Medicine LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1081579) is associated with this NPI, valid through March 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Southern Internal Medicine LLC was last updated on December 21, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.