SOUTHERN FAMILY MEDICINE LLC
NPI 1528299393
Family Medicine in Statesboro, GA
About Southern Family Medicine Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHERN FAMILY MEDICINE LLC (NPI 1528299393), doing business as Tri-care Family Medicine Llc, is a healthcare organization registered as a family medicine in Statesboro, Georgia and active in the NPI registry since July 2009. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Claxton, and lists Cindy R Rush, Billing Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 2
Secondary Practice Location 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Southern Family Medicine Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
10Medicare enrollment records show 10 clinicians reassign Medicare billing to Southern Family Medicine LLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 7 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (10)
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 11D1104838
Southern Family Medicine Of Georgia, LLC · Statesboro, GACertificate of Waiver 11D2064698
Southern Family Medicine Of Georgia, LLC · Claxton, GAFrequently 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 Southern Family Medicine Of Georgia, LLC's NPI number?
The NPI number for Southern Family Medicine Of Georgia, LLC is 1528299393. It was assigned to this organization in the NPPES registry on July 28, 2009. The provider is also known as Southern Family Medicine LLC. The provider was formerly known as Tri-Care Family Medicine LLC.
Where is Southern Family Medicine Of Georgia, LLC located?
Southern Family Medicine Of Georgia, LLC is located at 1140 Brampton Ave, Statesboro, GA 30458. The listed phone number is (912) 871-2273.
What is Southern Family Medicine Of Georgia, LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Southern Family Medicine Of Georgia, LLC enrolled in Medicare?
Yes. Southern Family Medicine Of Georgia, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southern Family Medicine Of Georgia, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 2 Medicare specialties reassign their Medicare billing to Southern Family Medicine Of Georgia, 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 Nurse Practitioner (6) and Family Practice (4). Of these, 4 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Southern Family Medicine Of Georgia, 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.
When was this NPI record last updated?
The NPPES record for Southern Family Medicine Of Georgia, LLC was last updated on August 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Southern Family Medicine Llc · NPI 1528299393
Family Medicine organization in Statesboro, Georgia. Organization record, active in the CMS NPPES registry since July 28, 2009.
## Identity
- **NPI:** 1528299393 (Entity type: Organization)
- **Enumerated:** July 28, 2009
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Southern Family Medicine Of Georgia, Llc
- **Also known as:** Tri-Care Family Medicine LLC (Former Legal Business Name)
- **Organization subpart:** No
- **Authorized official:** Cindy Rush, BILLING MANAGER
## Practice location
- **Address:** 1140 BRAMPTON AVE, Statesboro, GA 30458
- **Phone:** (912) 871-2273 · **Fax:** (912) 872-3374
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 10 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (6), Family Practice (4); 4 practice at this address and 7 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 8, 2023
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1528299393) · Data from the CMS NPPES public registry.