South Georgia Physicians Group, LLC
A Medicare group practice based in Waycross, GA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 8224208251), with 10 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 8224208251
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- GA
- Enrollments
- 1
- Group size
- 9 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 13
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20110831000412 | GA | Part B Supplier - Clinic/Group Practice | 1336560952 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
South Georgia Physicians Group, LLC
- Internal Medicine Physician
- Alma, GA
- NPI 1336560952
-
South Georgia Physicians Group, LLC
- Obstetrics & Gynecology Physician
- Waycross, GA
- NPI 1316501372
Practice locations
- Waycross, GA6
- Alma, GA3
- Blackshear, GA2
- Baxley, GA2
Clinicians 10
Clinicians who reassign their Medicare benefits to this group (10) or whom Care Compare lists as members (9).
-
Khaldon A Al Saadi, M.D.
- Surgery Physician
- Alma, GA
- NPI 1760433304
-
Ian Furtado, M.D.
- Family Medicine Physician
- Alma, GA
- NPI 1912358755
-
Katherine Ganas Harvell, FNP-BC
- Family Nurse Practitioner
- Waycross, GA
- NPI 1689909236
-
Lou Ellen Hutcheson, MD
- Obstetrics & Gynecology Physician
- Alma, GA
- NPI 1508877986
-
Neha Kakkar, M.D
- Internal Medicine Physician
- Alma, GA
- NPI 1518318054
-
Ronald Newton Locke, MD
- Surgery Physician
- Fort Mill, SC
- NPI 1528065406
-
Michelle Suzanne Lusk, M.D.
- Obstetrics & Gynecology Physician
- Hartsville, SC
- NPI 1487686150
-
John T Madonna Jr., MD
- Cardiovascular Disease Physician
- Alma, GA
- NPI 1912933870
-
Joshua Wade McCarthy, MD
- Family Medicine Physician
- Waycross, GA
- NPI 1578827408
-
William P Wright Jr., MD
- Cardiovascular Disease Physician
- Bridgeton, MO
- NPI 1962475848
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.