South Georgia Primary Care, Inc.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

SOUTH GEORGIA PRIMARY CARE, INC.

Doing business as

South Georgia Pediatric Care

Practice address

137 Ga Highway 32 Byp
Alma, GA 31510-2757

Phone

(912) 632-8244

NPI assigned

May 30, 2012

Last updated

Feb 5, 2026By 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

David P Glass

Title

Administrator

Phone

(912) 632-8244

Specialties & licenses 1

Addresses

Other names 1

• South Georgia Pediatric Care Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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.

• Rachel Burke Glass, D.O.

  • Pediatrics Physician
  • Alma, GA
  • NPI 1275777971
  NPD (past)
• Memori McCarley Waters, CPNP-PC

  • Pediatric Nurse Practitioner
  • Alma, GA
  • NPI 1902271604
  NPD (past)

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

{
    "created_epoch": "1338336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770249600000",
    "number": "1689935306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 GA HIGHWAY 32 BYP",
            "city": "ALMA",
            "state": "GA",
            "postal_code": "315102757",
            "telephone_number": "912-632-8244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 GA HIGHWAY 32 BYP",
            "city": "ALMA",
            "state": "GA",
            "postal_code": "315102757",
            "telephone_number": "912-632-8244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH GEORGIA PRIMARY CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-30",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A",
        "authorized_official_last_name": "GLASS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "912-632-8244"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Georgia Pediatric Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joshua Levi Shook, PTA
• Simmons House
• Stephen James Smith, MD
• Sound Mind Psychiatric Solutions LLC
• South Georgia Physicians Group, LLC
• Southern Counseling Services LLC (Southern Counseling Services)
• Jonathan Spell, PHARMD
• Tracy Stone, PHARMD
• Garrett Streat, PHARMD
• Superior Anesthesia for Everyone of Georgia, P.C.

• Pediatrics Physician in Alma, GA
• Providers in Alma, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.