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SOUTH GEORGIA PHYSICIANS GROUP, LLC
NPI 1316501372
Obstetrics & Gynecology in Waycross, GA

Active since April 25, 2019CLIA Certified · 2 labs
1406 HABERSHAM DR, WAYCROSS, GA 31501(912) 287-1130(912) 287-9114 Get Directions Write a Review

NPPES record last updated: May 16, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 16, 2024, Jan 9, 2022, Apr 27, 2021 and 4 more (7 updates tracked since 2019).

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

NPI1316501372
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameSOUTH GEORGIA PHYSICIANS GROUP, LLC
Location Address1406 HABERSHAM DRWaycross, GA 31501-5306
Mailing Address204 E 15th StreetAlma, GA 31510-2908 · (912) 632-2952 · Fax (912) 632-8682
Phone(912) 287-1130
Fax(912) 287-9114
Organization SubpartNo
Authorized OfficialCheryl Crawford DuboseCfo · (912) 632-8961
Enumeration DateApril 25, 2019
Last NPPES UpdateMay 16, 20247 updates tracked since enumeration
NPPES CertifiedMay 16, 2024
✔ NPI 1316501372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedSurgeryTaxonomy 208600000X
1406 HABERSHAM DR, Waycross, GA 31501
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Secondary Practice Location 1

Location 1821 S. MAIN STREETBAXLEY, GA 31513-5306 · Phone (912) 705-5483 · Fax (912) 705-5484

Other Identifiers 1

Other1336560952GA · Group Npi

Group Practice 2

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

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

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, GA
Active · expires Jan 4, 2028
CLIA Number11D2186431
Laboratory TypePhysician Office
Certificate Effective DateJanuary 5, 2026
Certificate Expiration DateJanuary 4, 2028
Laboratory DirectorRonald Locke
Laboratory Phone(912) 490-9420
Laboratory LocationSouth Georgia Physicians Group1406 Habersham Drive, Waycross, GA 31501
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D2318405

South Georgia Physicians Group · Baxley, GA
Active · expires Feb 10, 2027
CLIA Number11D2318405
Laboratory TypePhysician Office
Certificate Effective DateFebruary 11, 2025
Certificate Expiration DateFebruary 10, 2027
Laboratory DirectorMichelle Lusk
Laboratory Phone(912) 705-2273
Laboratory LocationSouth Georgia Physicians Group821 S Main Street, Suite A, Baxley, GA 31513
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ONE SOURCE VASCULAR
Clinic/Center (Medical Specialty)
1406 HABERSHAM DR
WAYCROSS, GA 31501
Ware County (912) 490-9420
SOUTH GEORGIA LUNG SPECIALISTS,PC
Internal Medicine (Pulmonary Disease)
1406 HABERSHAM DR
WAYCROSS, GA 31501
Ware County (912) 287-0333

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 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.

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.