1. Home
  2. Directory
  3. Georgia
  4. Statesboro
  5. Internal Medicine
  6. NPI Profile

SUPREME INTERNAL MEDICINE
NPI 1891130647
Internal Medicine in Statesboro, GA

Active since May 07, 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 7, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Supreme Internal Medicine NPPES

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

SUPREME INTERNAL MEDICINE (NPI 1891130647) is a healthcare organization registered as an internal medicine 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 Emokpae, Owner, as its authorized official.

NPPES Registry Identity

NPI1891130647
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSUPREME INTERNAL MEDICINE
Location Address1207 MERCHANT WAY, SUITE 201Statesboro, GA 30458-0861
Mailing AddressPo Box 2380Statesboro, GA 30459-2380 · (912) 243-9080 · Fax (912) 243-9084
Phone(912) 243-9080
Fax(912) 243-9084
Organization SubpartNo
Authorized OfficialHamilton EmokpaeOwner · (912) 243-9080
Enumeration DateMay 7, 2013
✔ NPI 1891130647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
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.

1207 MERCHANT WAY, Statesboro, GA 30458
Open in Google Maps ↗

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

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, P.C.
Clinic/Center (Primary Care)
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's NPI number?

The NPI number for Supreme Internal Medicine is 1891130647. It was assigned to this organization in the NPPES registry on May 7, 2013.

Where is Supreme Internal Medicine located?

Supreme Internal Medicine is located at 1207 Merchant Way Suite 201, Statesboro, GA 30458. The listed phone number is (912) 243-9080.

What is Supreme Internal Medicine's specialty?

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

Does Supreme Internal Medicine 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.

When was this NPI record last updated?

The NPPES record for Supreme Internal Medicine was last updated on May 7, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.