SOUTH GEORGIA PHYSICIANS GROUP, LLC
NPI 1316501372
Obstetrics & Gynecology in Waycross, GA
About South Georgia Physicians Group, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTH GEORGIA PHYSICIANS GROUP, LLC (NPI 1316501372) is a healthcare organization registered as an obstetrics & gynecology in Waycross, Georgia and active in the NPI registry since April 2019. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Baxley, and lists Cheryl Crawford Dubose, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 1
Group Practice 2
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)
South Georgia Physicians Group, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
11Medicare enrollment records show 11 clinicians reassign Medicare billing to South Georgia Physicians Group, LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 6
Clinicians, nearest first (11)
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 2
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 11D2186431
South Georgia Physicians Group · Waycross, GACertificate of Waiver 11D2318405
South Georgia Physicians Group · Baxley, GAFrequently 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 South Georgia Physicians Group, LLC's NPI number?
The NPI number for South Georgia Physicians Group, LLC is 1316501372. It was assigned to this organization in the NPPES registry on April 25, 2019.
Where is South Georgia Physicians Group, LLC located?
South Georgia Physicians Group, LLC is located at 1406 Habersham Dr, Waycross, GA 31501. The listed phone number is (912) 287-1130.
What is South Georgia Physicians Group, LLC's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is South Georgia Physicians Group, LLC enrolled in Medicare?
Yes. South Georgia Physicians Group, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through South Georgia Physicians Group, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 6 Medicare specialties reassign their Medicare billing to South Georgia Physicians Group, 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 General Surgery (3), Cardiovascular Disease (Cardiology) (2) and Family Practice (2). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does South Georgia Physicians Group, LLC hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does South Georgia Physicians Group, LLC accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list South Georgia Physicians Group, LLC 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 South Georgia Physicians Group, LLC was last updated on May 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# South Georgia Physicians Group, Llc · NPI 1316501372
Obstetrics & Gynecology organization in Waycross, Georgia. Organization record, active in the CMS NPPES registry since April 25, 2019.
## Identity
- **NPI:** 1316501372 (Entity type: Organization)
- **Enumerated:** April 25, 2019
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **Organization subpart:** No
- **Authorized official:** Cheryl Dubose, CFO
## Practice location
- **Address:** 1406 HABERSHAM DR, Waycross, GA 31501-5306
- **Phone:** (912) 287-1130 · **Fax:** (912) 287-9114
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 11 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: General Surgery (3), Cardiovascular Disease (Cardiology) (2), Family Practice (2); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 16, 2024
- **Other identifiers:** Other 1336560952 (GA)
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1316501372) · Data from the CMS NPPES public registry.