SUPREME INTERNAL MEDICINE, P.C.
NPI 1831536341
Clinic/Center - Primary Care in Statesboro, GA
About Supreme Internal Medicine, P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUPREME INTERNAL MEDICINE, P.C. (NPI 1831536341) is a healthcare organization registered as a primary care in Statesboro, Georgia and active in the NPI registry since May 2013. The organization holds a CLIA Waiver certificate valid through June 12, 2027 and lists Hamilton O Emokpae, Physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted 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)
Supreme Internal Medicine, P.c. 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 Supreme Internal Medicine, P.C., which bills Medicare for the services this clinician delivers.
Clinician (1)
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 11D2060574
Supreme Internal Medicine, PC · Statesboro, 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 Supreme Internal Medicine, P.C.'s NPI number?
The NPI number for Supreme Internal Medicine, P.C. is 1831536341. It was assigned to this organization in the NPPES registry on May 24, 2013.
Where is Supreme Internal Medicine, P.C. located?
Supreme Internal Medicine, P.C. is located at 1207 Merchant Way Suite 201, Statesboro, GA 30458. The listed phone number is (912) 243-9080.
What is Supreme Internal Medicine, P.C.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Supreme Internal Medicine, P.C. enrolled in Medicare?
Yes. Supreme Internal Medicine, P.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Supreme Internal Medicine, P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Supreme Internal Medicine, P.C.. 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.
Does Supreme Internal Medicine, P.C. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D2060574) is associated with this NPI, valid through June 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Supreme Internal Medicine, P.C. accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Supreme Internal Medicine, P.C. 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 Supreme Internal Medicine, P.C. was last updated on May 24, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Supreme Internal Medicine, P.c. · NPI 1831536341
Primary Care organization in Statesboro, Georgia. Organization record, active in the CMS NPPES registry since May 24, 2013.
## Identity
- **NPI:** 1831536341 (Entity type: Organization)
- **Enumerated:** May 24, 2013
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Hamilton Emokpae, PHYSICIAN
## Practice location
- **Address:** 1207 MERCHANT WAY, SUITE 201, Statesboro, GA 30458-0861
- **Phone:** (912) 243-9080 · **Fax:** (912) 243-9084
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 24, 2013
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1831536341) · Data from the CMS NPPES public registry.