SOUTH GEORGIA MEDICAL CENTER INC
NPI 1396511713
Nursing Facility/Intermediate Care Facility in Lakeland, GA
About South Georgia Medical Center Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTH GEORGIA MEDICAL CENTER INC (NPI 1396511713), doing business as Sgmc Health Villa, is a healthcare organization registered as a nursing facility/intermediate care facility in Lakeland, Georgia and active in the NPI registry since November 2023. The organization lists Olaf Faeskorn, Vp Revenue Cycle, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 Medical Center Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
115Medicare enrollment records show 115 clinicians reassign Medicare billing to South Georgia Medical Center Inc, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 19
Nearest to this location (20)
See all 115Valdosta, GA 31602
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 South Georgia Medical Center Inc's NPI number?
The NPI number for South Georgia Medical Center Inc is 1396511713. It was assigned to this organization in the NPPES registry on November 27, 2023. The provider is doing business as SGMC Health Villa.
Where is South Georgia Medical Center Inc located?
South Georgia Medical Center Inc is located at 138 W Thigpen Ave, Lakeland, GA 31635. The listed phone number is (229) 433-8425.
What is South Georgia Medical Center Inc's specialty?
The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.
Is South Georgia Medical Center Inc enrolled in Medicare?
Yes. South Georgia Medical Center Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through South Georgia Medical Center Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 115 clinicians in 19 Medicare specialties reassign their Medicare billing to South Georgia Medical Center Inc. 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 Pediatric Medicine (18), Nurse Practitioner (17) and Internal Medicine (16). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does South Georgia Medical Center Inc accept?
Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list South Georgia Medical Center Inc 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 Medical Center Inc was last updated on November 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# South Georgia Medical Center Inc · NPI 1396511713
Nursing Facility/Intermediate Care Facility organization in Lakeland, Georgia. Organization record, active in the CMS NPPES registry since November 27, 2023.
## Identity
- **NPI:** 1396511713 (Entity type: Organization)
- **Enumerated:** November 27, 2023
- **Primary specialty:** Nursing Facility/Intermediate Care Facility · taxonomy 313M00000X
- **Also known as:** SGMC Health Villa (Doing Business As)
- **Organization subpart:** Yes (part of South Georgia Medical Center Inc)
- **Authorized official:** Olaf Faeskorn, VP REVENUE CYCLE
## Practice location
- **Address:** 138 W THIGPEN AVE, Lakeland, GA 31635-1011
- **Phone:** (229) 433-8425
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 115 clinicians in 19 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Pediatric Medicine (18), Nurse Practitioner (17), Internal Medicine (16); 1 practice within 10 miles; [full list](https://npiprofile.com/npi/1396511713/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 4, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1396511713) · Data from the CMS NPPES public registry.