SOUTH GEORGIA PHYSICIANS GROUP, LLC
NPI 1336560952
Internal Medicine in Alma, GA

Active since December 27, 2013CLIA Certified · 2 labs
204 E 15TH ST, ALMA, GA 31510(912) 632-0314(912) 632-2554 Get Directions Write a Review

NPPES record last updated: February 12, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 9, 2023, Jan 9, 2022, Jun 1, 2021 and 3 more (6 updates tracked since 2018).

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 1336560952) is a healthcare organization registered as an internal medicine in Alma, Georgia and active in the NPI registry since December 2013. The organization holds 2 active CLIA laboratory certificates, maintains 11 additional practice locations, and lists Cheryl Crawford Dubose, Cfo, as its authorized official.

NPPES Registry Identity

NPI1336560952
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSOUTH GEORGIA PHYSICIANS GROUP, LLC
Location Address204 E 15TH STAlma, GA 31510
Mailing Address204 E 15th StAlma, GA 31510-2908 · (912) 632-0314 · Fax (912) 632-2554
Fax(912) 632-2554
Organization SubpartNo
Authorized OfficialCheryl Crawford DuboseCfo · (912) 632-8961
Enumeration DateDecember 27, 2013
Last NPPES UpdateFebruary 12, 20266 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2026
✔ NPI 1336560952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ 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.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedSurgeryTaxonomy 208600000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
204 E 15TH ST, Alma, GA 31510

Secondary Practice Locations 11

Location 1821 S Main St Ste ABaxley, GA 31513-0163 · Phone (912) 705-5483 · Fax (912) 705-5484
Location 2221 E Carter AveBlackshear, GA 31516-1545 · Phone (912) 449-6631
Location 32650 Carswell AveWaycross, GA 31503-4081 · Phone (912) 283-1234
Location 4203 S Wayne StAlma, GA 31510-2919 · Phone (912) 632-8288 · Fax (912) 632-3758
Location 5207 S Wayne StAlma, GA 31510-2919 · Phone (912) 632-7308
Location 61600 Riverside AveWaycross, GA 31501-7028 · Phone (912) 283-1182
Location 7301 S Baker StAlma, GA 31510-3019 · Phone (912) 632-7293
Location 81406 Habersham DrWaycross, GA 31501-5306 · Phone (912) 287-1130 · Fax (912) 827-9114
Location 9407 W Oneida StWaycross, GA 31501-5320 · Phone (912) 338-0065 · Fax (912) 338-0920
Location 10113 E 15th StAlma, GA 31510-2905 · Phone (912) 632-3818 · Fax (912) 632-2921
Location 11333 W Carter AveBlackshear, GA 31516-1412 · Phone (912) 632-8961

Other Identifiers 1

Medicaid003144050AGA

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

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

11

Medicare enrollment records show 11 clinicians reassign Medicare billing to South Georgia Physicians Group, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 6

General Surgery3
Cardiovascular Disease (Cardiology)2
Family Practice2
Obstetrics/Gynecology2
Internal Medicine1
Nurse Practitioner1

Clinicians, nearest first (11)

General Surgery
NPI 1699352195
204 E 15TH ST
Alma, GA 31510
(912) 632-0314
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1760433304
204 E 15TH ST
Alma, GA 31510
(912) 632-0314
✔ PECOS✔ Accepts Medicare0.3 mi
Family Practice
NPI 1912358755
204 E 15TH ST
Alma, GA 31510
(912) 632-2952
✔ PECOS✔ Accepts Medicare0.3 mi
Internal Medicine
NPI 1518318054
204 E 15TH ST
Alma, GA 31510
(912) 632-2952
✔ PECOS✔ Accepts Medicare0.3 mi
Cardiovascular Disease (Cardiology)
NPI 1912933870
207 S WAYNE ST
Alma, GA 31510
(912) 632-3827
✔ PECOS✔ Accepts Medicare0.3 mi
Obstetrics/Gynecology
NPI 1508877986
203 S WAYNE ST
Alma, GA 31510
(912) 632-8288
✔ PECOS✔ Accepts Medicare0.3 mi
Nurse Practitioner
NPI 1689909236
1921 ALICE ST STE 3A
Waycross, GA 31501
(912) 283-5616
✔ PECOS✔ Accepts Medicare23 mi
Family Practice
NPI 1578827408
407 W ONEIDA ST
Waycross, GA 31501
(912) 338-0065
✔ PECOS✔ Accepts Medicare23 mi
Obstetrics/Gynecology
NPI 1487686150
107 W COLLEGE AVE
Hartsville, SC 29550
(843) 639-6012
✔ PECOS✔ Accepts Medicare240 mi
General Surgery
NPI 1528065406
127 BEN CASEY DR STE 106
Fort Mill, SC 29708
(803) 547-6800
✔ PECOS✔ Accepts Medicare256 mi
Cardiovascular Disease (Cardiology)
NPI 1962475848
3550 MCKELVEY RD
Bridgeton, MO 63044
(314) 741-0911
✔ PECOS✔ Accepts Medicare670 mi

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 11D2262635

South Georgia Physicians Group LLC · Waycross, GA
Active · expires Jun 15, 2028
CLIA Number11D2262635
Laboratory TypePhysician Office
Certificate Effective DateJune 16, 2026
Certificate Expiration DateJune 15, 2028
Laboratory DirectorJoshua Mccarthy
Laboratory Phone(912) 338-0065
Laboratory LocationSouth Georgia Physicians Group LLC407 W Oneida Street, Waycross, GA 31501
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 11D1060302

South Georgia Physicians Group · Alma, GA
Active · expires Jun 29, 2027
CLIA Number11D1060302
Laboratory TypePhysician Office
Certificate Effective DateJune 30, 2025
Certificate Expiration DateJune 29, 2027
Laboratory DirectorLou Ellen Hutcheson
Laboratory Phone(912) 632-8288
Laboratory LocationSouth Georgia Physicians Group203 South Wayne Street, Alma, GA 31510
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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 South Georgia Physicians Group, LLC's NPI number?

The NPI number for South Georgia Physicians Group, LLC is 1336560952. It was assigned to this organization in the NPPES registry on December 27, 2013.

Where is South Georgia Physicians Group, LLC located?

South Georgia Physicians Group, LLC is located at 204 E 15th St, Alma, GA 31510. The listed phone number is (912) 632-0314.

What is South Georgia Physicians Group, LLC's specialty?

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

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, 1 practice at this address and 6 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 February 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.