SUPREME INTERNAL MEDICINE, P.C.
NPI 1831536341
Clinic/Center - Primary Care in Statesboro, GA

Q: 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.

Q: 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.

Active since May 24, 2013CLIA 11D2060574 · Waiver

1207 MERCHANT WAY, SUITE 201, STATESBORO, GA 30458(912) 243-9080(912) 243-9084 Get Directions Write a Review

NPPES record last updated: May 24, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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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

NPI1831536341

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameSUPREME INTERNAL MEDICINE, P.C.

Location Address1207 MERCHANT WAY, SUITE 201Statesboro, GA 30458-0861

Mailing Address1207 Merchant Way, Suite 201Statesboro, GA 30458 · (912) 243-9080 · Fax (912) 243-9084

Phone(912) 243-9080

Fax(912) 243-9084

Organization SubpartNo

Authorized OfficialHamilton O EmokpaePhysician · (912) 243-9080

Enumeration DateMay 24, 2013

✔ NPI 1831536341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

License✔ Licensed in GA · 68726

1207 MERCHANT WAY, Statesboro, GA 30458

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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, GA

Active · expires Jun 12, 2027

CLIA Number11D2060574

Laboratory TypePhysician Office

Certificate Effective DateJune 13, 2025

Certificate Expiration DateJune 12, 2027

Laboratory DirectorDr. Hamilton Emokpae

Laboratory Phone(912) 243-9080

Laboratory LocationSupreme Internal Medicine, PC1207 Merchant Way, Suite 201, Statesboro, GA 30458

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.

SUPREME INTERNAL MEDICINE

Internal Medicine

1207 MERCHANT WAY, SUITE 201
STATESBORO, GA 30458

Bulloch County (912) 243-9080

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 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.

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.