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SOUTHEAST GEORGIA PHYSICIANS ASSOCIATES CAMDEN PEDIATRICS
NPI 1659709152
Nurse Practitioner - Family in Saint Marys, GA

Active since October 17, 2013CLIA Certified · 2 labs
1/5
Overall Rating
2040 DAN PROCTOR DR, SUITE 140, SAINT MARYS, GA 31558(912) 679-8000 Get Directions Write a Review

NPPES record last updated: October 17, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Southeast Georgia Physicians Associates Camden Pediatrics NPPES

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

SOUTHEAST GEORGIA PHYSICIANS ASSOCIATES CAMDEN PEDIATRICS (NPI 1659709152) is a healthcare organization registered as a family in Saint Marys, Georgia and active in the NPI registry since October 2013. The organization holds 2 active CLIA laboratory certificates and lists Judy Marshall, Manager, Physician Practices, as its authorized official.

NPPES Registry Identity

NPI1659709152
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameCOOPERATIVE HEALTHCARE SERVICES INC
Location Address2040 DAN PROCTOR DR, SUITE 140Saint Marys, GA 31558-3811
Mailing Address2040 Dan Proctor Dr, Suite 140Saint Marys, GA 31558-3811 · (912) 679-8000
Phone(912) 679-8000
Organization SubpartYes
Authorized OfficialJudy MarshallManager, Physician Practices · (912) 466-5520
Enumeration DateOctober 17, 2013
✔ NPI 1659709152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN191658
2040 DAN PROCTOR DR, Saint Marys, GA 31558
Open in Google Maps ↗

Other Names 1

Doing Business AsSoutheast Georgia Physicians Associates Camden Pediatrics

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

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 11D1040187

Southeast Georgia Physician Associates Pediatric Office · Saint Marys, GA
Active · expires May 2, 2027
CLIA Number11D1040187
Laboratory TypePhysician Office
Certificate Effective DateMay 3, 2025
Certificate Expiration DateMay 2, 2027
Laboratory DirectorRenali Agbayani
Laboratory Phone(912) 673-8000
Laboratory LocationSoutheast Georgia Physician Associates Pediatric Office2040 Dan Proctor Drive Suite 140, Saint Marys, GA 31558
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D2177681

Southeast Georgia Physician Associates Primary Care · Brunswick, GA
Active · expires Jan 15, 2028
CLIA Number11D2177681
Laboratory TypePhysician Office
Certificate Effective DateJanuary 16, 2026
Certificate Expiration DateJanuary 15, 2028
Laboratory DirectorDanielle Shelton
Laboratory Phone(912) 466-5520
Laboratory LocationSoutheast Georgia Physician Associates Primary Care2500 Starling Street Suite 401, Brunswick, GA 31520
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Senior Care Center - St Marys (CMS certification number 115684), from CMS Care Compare.

Senior Care Center - St Marys

Nursing home · Saint Marys, GA
1/5 CMS Overall Rating
OwnershipNon profit - Other
CMS Certification Number115684
Certified Beds78 beds68 residents per day on average
Medicare & Medicaid Participant SinceMarch 20, 2003
Resident & Family CouncilResident council
Hospital-based Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
4/5
Long-Stay Quality
Quality of care delivered to long-term residents.
3/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
4/5
Staffing
Based on nursing staff hours relative to resident needs.
1/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
72.67
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 1.37 · LPN 0.71 · RN 0.53
2.6 hrs per resident per day
Weekend Nurse Staffing
2.26 hrs per resident per day
Physical Therapist Staffing
0.03 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
52.8%
Registered Nurse Turnover
62.5%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
0
Fines
1 totaling $4,017.00
Medicare Payment Denials
0
Total Penalties
1
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

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.

FIRST COAST ENT
Specialist
2040 DAN PROCTOR DR, SUITE 250
SAINT MARYS, GA 31558
Camden County (912) 729-2794
DR. VICTORIA YALONDA WARNER-WHITE M.D.
Pediatrics
2040 DAN PROCTOR DR, SUITE #230
SAINT MARYS, GA 31558
Camden County (912) 576-6464
VICTORIA Y. WARNER-WHITE M.D.
Point of Service
2040 DAN PROCTOR DR, SUITE 230
SAINT MARYS, GA 31558
Camden County (912) 576-6464

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 Cooperative Healthcare Services Inc's NPI number?

The NPI number for Cooperative Healthcare Services Inc is 1659709152. It was assigned to this organization in the NPPES registry on October 17, 2013. The provider is doing business as Southeast Georgia Physicians Associates Camden Pediatrics.

Where is Cooperative Healthcare Services Inc located?

Cooperative Healthcare Services Inc is located at 2040 Dan Proctor Dr Suite 140, Saint Marys, GA 31558. The listed phone number is (912) 679-8000.

What is Cooperative Healthcare Services Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Cooperative Healthcare Services Inc 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.

Is Cooperative Healthcare Services Inc a Medicare-certified nursing home?

Yes. Senior Care Center - St Marys is a Medicare-certified nursing home with 78 certified beds.

What quality rating does Cooperative Healthcare Services Inc have?

CMS rates Senior Care Center - St Marys 1 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Cooperative Healthcare Services Inc was last updated on October 17, 2013. 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.