South Georgia Internal Medicine,PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SOUTH GEORGIA INTERNAL MEDICINE,PC

Practice address

544 W Church St
Swainsboro, GA 30401-3230

Phone

(478) 237-2527

Fax

(478) 237-7406

NPI assigned

Dec 21, 2006

Last updated

Aug 22, 2020By 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. Vijitha Prasad, M.D.NPI 1275520090

Title

President

Phone

(478) 237-2527

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Interoperability endpoints

• Direct secure messaging: vijitha.prasad@sgim.gadirect.net

Practitioners 7

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.

• Vijitha Prasad, M.D.

  • Internal Medicine Physician
  • Swainsboro, GA
  • NPI 1275520090
  Medicare reassignment NPD Authorized official
• Megan Delane Coleman, MSN, FNP-C

  • Family Nurse Practitioner
  • Swainsboro, GA
  • NPI 1710315379
  Medicare reassignment NPD
• Pamela R Love, N.P

  • Women's Health Nurse Practitioner
  • Swainsboro, GA
  • NPI 1780605295
  Medicare reassignment NPD
• Jyothsna S Challa, PA-C

  • Physician Assistant
  • Decatur, GA
  • NPI 1932497567
  Medicare reassignment
• Brenda M. Thompson, FNP

  • Nurse Practitioner
  • Baxley, GA
  • NPI 1487660353
  NPD (past)
• Courtenay L Tillman, FNP-BC

  • Family Nurse Practitioner
  • Statesboro, GA
  • NPI 1285746941
  NPD (past)
• Gaurav Aggarwal, MD

  • Hospitalist Physician
  • Sacramento, CA
  • NPI 1619937521

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689738700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "544 W CHURCH ST",
            "city": "SWAINSBORO",
            "state": "GA",
            "postal_code": "304013230",
            "telephone_number": "478-237-2527",
            "fax_number": "478-237-7406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "544 W CHURCH ST",
            "city": "SWAINSBORO",
            "state": "GA",
            "postal_code": "304013230",
            "telephone_number": "478-237-2527",
            "fax_number": "478-237-7406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH GEORGIA INTERNAL MEDICINE,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PRASAD",
        "authorized_official_first_name": "VIJITHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "478-237-2527",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Smith Rural Health Clinic
• Breanna Smith, PHARMD
• Mark D Smith, DMD
• Mason Williams Smith, P.A.
• Leann Phillips Snellgrove, LPC
• Southern Home Care Services, Inc. (All Ways Caring HomeCare)
• Southern Home Care Services, Inc. (All Ways Caring HomeCare)
• Speech Teach Inc
• Joyce Dianne Spence, RN
• Arlie Stevens, FNP-BC

• Internal Medicine Physician in Swainsboro, GA
• Providers in Swainsboro, 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 Aug 22, 2020; 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.