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SUWANNEE RIVER MEDICAL
NPI 1528753423
Clinic/Center - Primary Care in Homerville, GA

Active since April 06, 2023CLIA 11D2125691 · Waiver
30 W FOREST AVE, HOMERVILLE, GA 31634(912) 487-1737(912) 487-1739 Get Directions Write a Review

NPPES record last updated: April 6, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Suwannee River Medical NPPES

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

SUWANNEE RIVER MEDICAL (NPI 1528753423) is a healthcare organization registered as a primary care in Homerville, Georgia and active in the NPI registry since April 2023. The organization holds a CLIA Waiver certificate valid through February 12, 2027 and lists Carleen Hill, Office Administrator, as its authorized official.

NPPES Registry Identity

NPI1528753423
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameSUWANNEE RIVER MEDICAL
Location Address30 W FOREST AVEHomerville, GA 31634-3413
Mailing Address30 W Forest AveHomerville, GA 31634-3413 · (912) 487-1737 · Fax (912) 487-1739
Phone(912) 487-1737
Fax(912) 487-1739
Organization SubpartNo
Authorized OfficialCarleen HillOffice Administrator · (912) 487-1737
Enumeration DateApril 6, 2023
NPPES CertifiedApril 6, 2023
✔ NPI 1528753423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
30 W FOREST AVE, Homerville, GA 31634
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Other Names 1

Doing Business AsSuwannee River Medical

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 11D2125691

Suwannee River Medical · Homerville, GA
Active · expires Feb 12, 2027
CLIA Number11D2125691
Laboratory TypePhysician Office
Certificate Effective DateFebruary 13, 2025
Certificate Expiration DateFebruary 12, 2027
Laboratory DirectorNancy Strickland
Laboratory Phone(912) 487-1737
Laboratory LocationSuwannee River Medical30 W Forest Ave, Homerville, GA 31634
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

GEORGIA GRIFFIS PA
Physician Assistant
30 W FOREST AVE
HOMERVILLE, GA 31634
Clinch County (912) 487-1737

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 Suwannee River Medical's NPI number?

The NPI number for Suwannee River Medical is 1528753423. It was assigned to this organization in the NPPES registry on April 6, 2023.

Where is Suwannee River Medical located?

Suwannee River Medical is located at 30 W Forest Ave, Homerville, GA 31634. The listed phone number is (912) 487-1737.

What is Suwannee River Medical's specialty?

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

Does Suwannee River Medical hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2125691) is associated with this NPI, valid through February 12, 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 Suwannee River Medical was last updated on April 6, 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.