ST. JUDE'S INTERNAL MEDICINE, LLC
NPI 1477863579
Specialist in Woodstock, GA

Q: What is St. Jude's Internal Medicine, LLC's NPI number?

The NPI number for St. Jude's Internal Medicine, LLC is 1477863579. It was assigned to this organization in the NPPES registry on October 7, 2010.

Q: What is St. Jude's Internal Medicine, LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since October 07, 2010

1198 BUCKHEAD XING, STE C, WOODSTOCK, GA 30189(678) 324-7406(770) 627-4322 Get Directions Write a Review

NPPES record last updated: May 8, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About St. Jude's Internal Medicine, Llc NPPES

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

ST. JUDE'S INTERNAL MEDICINE, LLC (NPI 1477863579) is a healthcare organization registered as a specialist in Woodstock, Georgia and active in the NPI registry since October 2010. The organization lists Osborne F D'souza, Provider, as its authorized official.

NPPES Registry Identity

NPI1477863579

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameST. JUDE'S INTERNAL MEDICINE, LLC

Location Address1198 BUCKHEAD XING, STE CWoodstock, GA 30189-4257

Mailing Address1198 Buckhead Xing, Ste CWoodstock, GA 30189-4257 · (678) 324-7406 · Fax (770) 627-4322

Phone(678) 324-7406

Fax(770) 627-4322

Organization SubpartNo

Authorized OfficialOsborne F D'souzaProvider · (678) 324-7406

Enumeration DateOctober 7, 2010

Last NPPES UpdateMay 8, 2014

✔ NPI 1477863579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1198 BUCKHEAD XING, Woodstock, GA 30189

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

St. Jude's Internal Medicine, Llc 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 St. Jude's Internal Medicine, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Osborne Dsouza, MD

Internal Medicine

NPI 1437148657

1198 BUCKHEAD XING SUITE C
Woodstock, GA 30189

(678) 324-7406

✔ PECOS✔ Accepts Medicare0.1 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 St. Jude's Internal Medicine, LLC's NPI number?

The NPI number for St. Jude's Internal Medicine, LLC is 1477863579. It was assigned to this organization in the NPPES registry on October 7, 2010.

Where is St. Jude's Internal Medicine, LLC located?

St. Jude's Internal Medicine, LLC is located at 1198 Buckhead Xing Ste C, Woodstock, GA 30189. The listed phone number is (678) 324-7406.

What is St. Jude's Internal Medicine, LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is St. Jude's Internal Medicine, LLC enrolled in Medicare?

Yes. St. Jude's Internal Medicine, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through St. Jude's Internal Medicine, LLC?

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

What insurance does St. Jude's Internal Medicine, LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list St. Jude's Internal Medicine, 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 St. Jude's Internal Medicine, LLC was last updated on May 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.