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SOUTHEAST GEORGIA PEDIATRICS
NPI 1457613192
Clinic/Center - Primary Care in Waycross, GA

Active since June 08, 2012
1701 BOULEVARD SQ STE D, WAYCROSS, GA 31501(912) 387-0445(912) 226-3513 Get Directions Write a Review

NPPES record last updated: June 15, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Southeast Georgia Pediatrics NPPES

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

SOUTHEAST GEORGIA PEDIATRICS (NPI 1457613192) is a healthcare organization registered as a primary care in Waycross, Georgia and active in the NPI registry since June 2012. The organization lists Eugene Wynn Kallay, Owner, as its authorized official.

NPPES Registry Identity

NPI1457613192
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameSOUTHEAST GEORGIA PEDIATRICS
Location Address1701 BOULEVARD SQ STE DWaycross, GA 31501-8022
Mailing Address1701 Boulevard Sq Ste DWaycross, GA 31501-8022 · (912) 387-0445 · Fax (912) 226-3513
Phone(912) 387-0445
Fax(912) 226-3513
Organization SubpartNo
Authorized OfficialEugene Wynn KallayOwner · (478) 737-7653
Enumeration DateJune 8, 2012
Last NPPES UpdateJune 15, 2020
NPPES CertifiedJune 15, 2020
✔ NPI 1457613192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Licenses✔ Licensed in GA · 018950✔ Licensed in GA · 041044
1701 BOULEVARD SQ STE D, Waycross, GA 31501
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Other Identifiers 2

Other1063595973Npi
Other1780767665Npi

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 ›

Other Providers at the Same Location NPPES 3

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

LINDSEY KAITLYN MORTON
Pediatrics
1701 BOULEVARD SQ STE D
WAYCROSS, GA 31501
Ware County (912) 387-0445
KERI TUTEN HALE NP
Nurse Practitioner (Pediatrics)
1701 BOULEVARD SQ STE D
WAYCROSS, GA 31501
Ware County (912) 387-0445
MRS. DANNETTE KALLAY M.D.
Pediatrics
1701 BOULEVARD SQ STE D
WAYCROSS, GA 31501
Ware County (912) 387-0445

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 Georgia Pediatrics's NPI number?

The NPI number for Southeast Georgia Pediatrics is 1457613192. It was assigned to this organization in the NPPES registry on June 8, 2012.

Where is Southeast Georgia Pediatrics located?

Southeast Georgia Pediatrics is located at 1701 Boulevard Sq Ste D, Waycross, GA 31501. The listed phone number is (912) 387-0445.

What is Southeast Georgia Pediatrics's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

What insurance does Southeast Georgia Pediatrics accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Southeast Georgia Pediatrics 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 Southeast Georgia Pediatrics was last updated on June 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.