ASF MEDICAL CENTER URSAL
NPI 1437392859
Family Medicine in Douglas, GA

Active since April 15, 2009CLIA 11D1104842 · Waiver
2016 OCILLA RD, DOUGLAS, GA 31533(229) 468-3373(229) 468-9363 Get Directions Write a Review

NPPES record last updated: April 15, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Asf Medical Center Ursal NPPES

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

ASF MEDICAL CENTER URSAL (NPI 1437392859) is a healthcare organization registered as a family medicine in Douglas, Georgia and active in the NPI registry since April 2009. The organization holds a CLIA Waiver certificate valid through September 10, 2027 and lists Ashfaq Saiyed, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1437392859
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameASF MEDICAL CENTER INC
Location Address2016 OCILLA RDDouglas, GA 31533-2230
Mailing Address159 Frank Church RdOcilla, GA 31774-3701 · (229) 468-3373 · Fax (229) 468-9363
Fax(229) 468-9363
Organization SubpartNo
Authorized OfficialAshfaq SaiyedMedical Director · (229) 468-3373
Enumeration DateApril 15, 2009
✔ NPI 1437392859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 052819
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 19352 (GA)
Also ListedInternal MedicineTaxonomy 207R00000X · License 044833 (GA)
Also ListedPediatricsTaxonomy 208000000X · License 048971 (GA)
2016 OCILLA RD, Douglas, GA 31533

Other Names 1

Other NameAsf Medical Center Ursal

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)

Asf Medical Center Ursal is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Asf Medical Center Ursal, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1225119407
202 S CHERRY ST
Ocilla, GA 31774
(229) 468-5015
✔ PECOS✔ Accepts Medicare22 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

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 11D1104842

Asf Medical Center Incorporated · Ocilla, GA
Active · expires Sep 10, 2027
CLIA Number11D1104842
Laboratory TypePhysician Office
Certificate Effective DateSeptember 11, 2025
Certificate Expiration DateSeptember 10, 2027
Laboratory DirectorAshfap Saiyed
Laboratory Phone(229) 468-5015
Laboratory LocationAsf Medical Center Incorporated202 S Cherry Street Attn Sabiha, Ocilla, GA 31774
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only 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 Asf Medical Center Inc's NPI number?

The NPI number for Asf Medical Center Inc is 1437392859. It was assigned to this organization in the NPPES registry on April 15, 2009. The provider is also known as Asf Medical Center Ursal.

Where is Asf Medical Center Inc located?

Asf Medical Center Inc is located at 2016 Ocilla Rd, Douglas, GA 31533. The listed phone number is (229) 468-3373.

What is Asf Medical Center Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Asf Medical Center Inc enrolled in Medicare?

Yes. Asf Medical Center Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Asf Medical Center Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Asf 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Asf Medical Center Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1104842) is associated with this NPI, valid through September 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Asf Medical Center Inc was last updated on April 15, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.