SOUTHEAST SUPERIOR HEALTH
NPI 1326885500
Internal Medicine - Geriatric Medicine in Orange Park, FL

Active since July 13, 2024
2592 ASHFORD CT, ORANGE PARK, FL 32073(904) 742-3567 Get Directions Write a Review

NPPES record last updated: April 26, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Southeast Superior Health NPPES

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

SOUTHEAST SUPERIOR HEALTH (NPI 1326885500) is a healthcare organization registered as a geriatric medicine in Orange Park, Florida and active in the NPI registry since July 2024. The organization lists Eric J Weisz, Ceo, as its authorized official.

NPPES Registry Identity

NPI1326885500
Entity TypeOrganization
Primary Taxonomy207RG0300X
Legal Business NameSOUTHEAST SUPERIOR HEALTH
Location Address2592 ASHFORD CTOrange Park, FL 32073
Mailing Address2592 Ashford CtOrange Park, FL 32073 · (904) 742-3567
Organization SubpartNo
Authorized OfficialEric J WeiszCeo · (904) 742-3567
Enumeration DateJuly 13, 2024
Last NPPES UpdateApril 26, 2025
NPPES CertifiedApril 26, 2025
✔ NPI 1326885500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
2592 ASHFORD CT, Orange Park, FL 32073

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)

Southeast Superior Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Southeast Superior Health, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (3)

Infectious Disease
NPI 1245347004
6817 SOUTHPOINT PKWY STE 801
Jacksonville, FL 32216
(904) 646-3420
✔ PECOS✔ Accepts Medicare12 mi
Internal Medicine
NPI 1649432733
3207 COUNTRY CLUB RD
Valdosta, GA 31605
(229) 242-8480
✔ PECOS✔ Accepts Medicare104 mi
Pain Management
NPI 1164711313
3527 N VALDOSTA RD
Valdosta, GA 31602
(229) 247-2290
✔ PECOS✔ Accepts Medicare104 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Southeast Superior Health's NPI number?

The NPI number for Southeast Superior Health is 1326885500. It was assigned to this organization in the NPPES registry on July 13, 2024.

Where is Southeast Superior Health located?

Southeast Superior Health is located at 2592 Ashford Ct, Orange Park, FL 32073. The listed phone number is (904) 742-3567.

What is Southeast Superior Health's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Southeast Superior Health enrolled in Medicare?

Yes. Southeast Superior Health is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southeast Superior Health?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Southeast Superior Health, in Infectious Disease, Internal Medicine and Pain Management. 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.

When was this NPI record last updated?

The NPPES record for Southeast Superior Health was last updated on April 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.