SOUTH HOUSTON INTERNAL MEDICINE
NPI 1619089653
Internal Medicine in Perry, GA

Q: What is South Houston Internal Medicine's NPI number?

The NPI number for South Houston Internal Medicine is 1619089653. It was assigned to this organization in the NPPES registry on August 31, 2006.

Q: What is South Houston Internal Medicine's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since August 31, 2006CLIA 11D1059001 · Waiver

1018 KEITH DR, SUITE A, PERRY, GA 31069(478) 987-7444(478) 987-7422 Get Directions Write a Review

NPPES record last updated: February 11, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About South Houston Internal Medicine NPPES

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

SOUTH HOUSTON INTERNAL MEDICINE (NPI 1619089653) is a healthcare organization registered as an internal medicine in Perry, Georgia and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through September 19, 2028 and lists Joseph Stephen Lomboy, Owner, as its authorized official.

NPPES Registry Identity

NPI1619089653

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameSOUTH HOUSTON INTERNAL MEDICINE

Location Address1018 KEITH DR, SUITE APerry, GA 31069

Mailing Address1018 Keith Dr, Ste APerry, GA 31069-2947 · (478) 987-7444 · Fax (478) 987-7422

Phone(478) 987-7444

Fax(478) 987-7422

Organization SubpartNo

Authorized OfficialJoseph Stephen LomboyOwner · (478) 987-7444

Enumeration DateAugust 31, 2006

Last NPPES UpdateFebruary 11, 2010

✔ NPI 1619089653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in GA · 047921

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1018 KEITH DR, Perry, GA 31069

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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 Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health 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)

South Houston Internal Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to South Houston Internal Medicine, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Joseph Lomboy, MD

Internal Medicine

NPI 1215974100

1018 KEITH DR SUITE A
Perry, GA 31069

(478) 987-7444

✔ PECOS✔ Accepts MedicareSame address

Marietta Olaivar Lomboy, NP

Nurse Practitioner

NPI 1699786327

1018 KEITH DRIVE SUITE A
Perry, GA 31069

(478) 987-7444

✔ PECOS✔ Accepts MedicareSame address

Teresa Vickers, NP

Nurse Practitioner

NPI 1275060295

1860 WATSON BLVD
Warner Robins, GA 31093

(478) 225-9001

✔ PECOS✔ Accepts Medicare12 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 11D1059001

South Houston Internal Medicine LLC · Perry, GA

Active · expires Sep 19, 2028

CLIA Number11D1059001

Laboratory TypePhysician Office

Certificate Effective DateSeptember 20, 2026

Certificate Expiration DateSeptember 19, 2028

Laboratory DirectorMarietta P. Lomboy

Laboratory Phone(478) 987-7444

Laboratory LocationSouth Houston Internal Medicine LLC1018 Keith Drive Suite A, Perry, GA 31069

CLIA data matches this NPI record on: Address Name Phone

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 South Houston Internal Medicine's NPI number?

The NPI number for South Houston Internal Medicine is 1619089653. It was assigned to this organization in the NPPES registry on August 31, 2006.

Where is South Houston Internal Medicine located?

South Houston Internal Medicine is located at 1018 Keith Dr Suite A, Perry, GA 31069. The listed phone number is (478) 987-7444.

What is South Houston Internal Medicine's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is South Houston Internal Medicine enrolled in Medicare?

Yes. South Houston Internal Medicine is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through South Houston Internal Medicine?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to South Houston Internal Medicine, in Internal Medicine and Nurse Practitioner. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does South Houston Internal Medicine hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1059001) is associated with this NPI, valid through September 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does South Houston Internal Medicine accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list South Houston Internal Medicine 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 South Houston Internal Medicine was last updated on February 11, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.