Internal Medicine of Southeast Georgia

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

INTERNAL MEDICINE OF SOUTHEAST GEORGIA

Practice address

351 Peachtree St
Jesup, GA 31545-0245

Phone

(912) 530-6582

Fax

(912) 530-6584

NPI assigned

May 2, 2007

Last updated

Nov 7, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. S Lance Hendrix, MD

Title

President

Phone

(912) 530-6582

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JDDBDA

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chelsey Davis Carter, MD

  • Internal Medicine Physician
  • Jesup, GA
  • NPI 1881344133
  Medicare reassignment Care Compare group NPD
• Sydney Lance Hendrix, M.D.

  • Internal Medicine Physician
  • Jesup, GA
  • NPI 1679643712
  Medicare reassignment Care Compare group NPD
• Brandi Jo Higgins, APRN, FNP-C, FNP-BC

  • Nurse Practitioner
  • Jesup, GA
  • NPI 1205528940
  Medicare reassignment Care Compare group NPD
• Vanessa Vershel Moseley, NP

  • Family Nurse Practitioner
  • Waycross, GA
  • NPI 1114351822
  Medicare reassignment Care Compare group NPD
• Brenda Joyce Poythress, NP-C

  • Family Medicine Physician
  • Jesup, GA
  • NPI 1225686975

  Multi-Specialty

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762473600000",
    "number": "1154543106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 PEACHTREE ST",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315450245",
            "telephone_number": "912-530-6582",
            "fax_number": "912-530-6584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 PEACHTREE ST",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315450245",
            "telephone_number": "912-530-6582",
            "fax_number": "912-530-6584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE OF SOUTHEAST GEORGIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A",
        "authorized_official_last_name": "HENDRIX",
        "authorized_official_first_name": "S",
        "authorized_official_middle_name": "LANCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "912-530-6582",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "DF9280",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "N371138",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "189166661B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2781716",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hospital Authority of Wayne County, Georgia (wayne memorial hospital)
• Amber Brooke Boatright Howard, APRN, FNP-C
• Mandy D. Brinson Hubbard, FNP
• Carolyn Huff
• Teresa Dianne Hutson, CRNA
• J. H. Harvey, Co., LLC (Harveys Supermarket Pharmacy #2365)
• Kara B Jackson, PT, DPT
• Tamia Destiny Jackson, MSW
• Rebecca James, LPC, NCC
• Jeffrey L. Harris, MD, PC (Wayne Obstetrics and Gynecology)

• Internal Medicine Physician in Jesup, GA
• Providers in Jesup, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.