Memorial Satilla Specialists, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

MEMORIAL SATILLA SPECIALISTS, LLC

Practice address

1921 Alice St Ste B
Waycross, GA 31501-6200

Phone

(912) 490-0722

Fax

(912) 490-7227

NPI assigned

Mar 24, 2017

Last updated

Mar 24, 2017By 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

Robert Ali Faile III

Title

Authorized Official

Phone

(843) 956-7923

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 28

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.

• Yolanda Machelle Borders, M.D.

  • Obstetrics & Gynecology Physician
  • Waycross, GA
  • NPI 1841483914
  Medicare reassignment Care Compare group NPD
• Timothy T Catchings, MD

  • Cardiovascular Disease Physician
  • Waycross, GA
  • NPI 1841239670
  Medicare reassignment Care Compare group NPD
• Jennifer Darlene Dowling, NP

  • Family Nurse Practitioner
  • Alma, GA
  • NPI 1770098410
  Medicare reassignment Care Compare group NPD
• Gabrielle Alyse Gunter, FNP-C

  • Family Nurse Practitioner
  • Waycross, GA
  • NPI 1164952602
  Medicare reassignment Care Compare group NPD
• Traci Bowers Howard, FNP-BC

  • Nurse Practitioner
  • Waycross, GA
  • NPI 1407382021
  Medicare reassignment Care Compare group NPD
• Sigismund S Lee, M.D.

  • Surgery Physician
  • Waycross, GA
  • NPI 1194974048
  Medicare reassignment Care Compare group NPD
• Kalie Deann Mathis, NP-C

  • Nurse Practitioner
  • Waycross, GA
  • NPI 1679248124
  Medicare reassignment Care Compare group NPD
• Manel Dinesh Nayak, M.D.

  • Pulmonary Disease Physician
  • Waycross, GA
  • NPI 1902818073
  Medicare reassignment Care Compare group NPD
• Jaymal R Patel, M.D.

  • Psychiatry Physician
  • Moultrie, GA
  • NPI 1962433599
  Medicare reassignment Care Compare group NPD
• Nimi Patel

  • Neurology Physician
  • Waycross, GA
  • NPI 1235410911
  Medicare reassignment Care Compare group NPD
• Robert Sumner Pilcher, M.D.,PHD

  • Orthopaedic Surgery Physician
  • Waycross, GA
  • NPI 1376549170
  Medicare reassignment Care Compare group NPD
• Jana Revels, NP

  • Nurse Practitioner
  • Waycross, GA
  • NPI 1336791425
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1490313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490313600000",
    "number": "1295266955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 ALICE ST STE B",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315016200",
            "telephone_number": "912-490-0722",
            "fax_number": "912-490-7227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 ALICE ST STE B",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315016200",
            "telephone_number": "912-490-0722",
            "fax_number": "912-490-7227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL SATILLA SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-24",
        "last_updated": "2017-03-24",
        "status": "A",
        "authorized_official_last_name": "FAILE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ALI",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "843-956-7923",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medical Mobility Solutions, Inc.
• Medical Treatment Consultants LLC
• Lola A Medlin-Goettie, HOME HEALTH CARE
• Ches Melton, PHARMD
• Memorial Careone Home Health Services Inc (CareOne Home Health Services - Waycross Agency)
• Mending Minds Psychiatry, LLC
• Lauren Mercer, LMFT
• John F Michaels Jr., M.D.
• Marah Johnson Miles, FNP-C
• Robert L Miles, D.C.

• General Practice Physician in Waycross, GA
• Providers in Waycross, GA by specialty
• General Practice Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2017; 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.