Southeast Georgia Health Services, L.L.C.
Organization Active NPI Psychiatric Hospital Unit · Waycross, GA
NPI 1093248486 · NPPES record last updated Sep 24, 2025
Key facts
- NPI
- 1093248486
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric Hospital Unit 273R00000X
- Legal business name
- SOUTHEAST GEORGIA HEALTH SERVICES, L.L.C.
- Practice address
- 1900 Tebeau St
Waycross, GA 31501-6357 - Phone
- (912) 283-3030
- Fax
- (912) 287-2505
- NPI assigned
- Apr 4, 2017
- Organization subpart
- Yes
- Parent organization (as reported)
- SOUTHEAST GEORGIA HEALTH SERVICES, L.L.C.
Authorized official
- Name
- Tim Lynch
- Title
- Interim Cfo
- Phone
- (912) 287-2500
Parent organization (reported in NPPES) 1
Other NPIs with the same Medicare PAC ID 2
Corporate family (same tax ID) 5
Related certifications (CCN) 1
Facilities with the same owner 191
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Hospital certification: CCN 11S003
- Legal name
- SOUTHEAST GEORGIA HEALTH SERVICES, LLC
- Doing business as
- MEMORIAL SATILLA HEALTH
- Organization structure
- LLC
- Incorporated
- Oct 18, 2016 in DE
- Enrollment address
- 2500 Satilla Pkwy
Waycross, GA 31503-8852 - Hospital subgroups
- Psychiatric unit
All disclosed owners & managing parties 9
| Name | Role | Since | Share |
|---|---|---|---|
| HCA Inc |
5% Or Greater Indirect Ownership Interest | Oct 18, 2016 | 100% |
| Eric D Smith |
Contracted Managing Employee |
Mar 1, 2021 | |
| Other | Mar 1, 2021 | ||
| HCA Healthcare Inc |
5% Or Greater Indirect Ownership Interest | Oct 18, 2016 | 100% |
| David Alan Wylie |
Corporate Officer |
Dec 31, 2025 | |
| W-2 Managing Employee |
Dec 31, 2025 | ||
| Hercules Holding II |
5% Or Greater Indirect Ownership Interest | Oct 18, 2016 | 23% |
| Healthtrust Inc - the Hospital Company |
5% Or Greater Indirect Ownership Interest | Oct 18, 2016 | 100% |
| Frisco Holding II |
5% Or Greater Indirect Ownership Interest | Oct 18, 2016 | 12.19% |
| Hti Hospital Holdings Inc |
5% Or Greater Direct Ownership Interest | Oct 18, 2016 | 100% |
| Damon Luke Barrett |
Corporate Officer |
Sep 2, 2025 | |
| W-2 Managing Employee |
Sep 2, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170713002941 | GA | Part a Provider - Hospital | 8123395928 | Practice locations: Waycross, GA |
National Provider Directory
- Tax ID family
- Southeast Georgia Health Services LLC
- Part of
- Southeast Georgia Health Services LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital Unit | 273R00000X | Yes |
Addresses
Primary practice location
1900 Tebeau St
Waycross, GA 31501-6357
Mailing address
1900 Tebeau St
Waycross, GA 31501-6357
Phone (912) 283-3030
Other names
- Memorial Satilla Health
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Ability Network |
Other providers in Waycross, GA
- South Georgia Surgery Center
- South Georgia Surgery Center, LLC
- Southeast Diagnostics LLC
- Southeast Georgia Anesthesia LLC
- Southeast Georgia Gastroenterology PC
- Southeast Georgia Health Services, L.L.C.
- Southeast Georgia Health Services, L.L.C.
- Southeast Georgia Mobile Therapy
- Southeast Georgia Pediatrics
- Southeast Georgia Primary Care
All providers in Waycross, GA · Psychiatric Hospital Unit in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 24, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.