Active NPI
Southern Medical Group
- Family Medicine Physician
- Claxton, GA
National Provider Identifier
1871677880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 000461
- Legal business name
- SOUTHERN MEDICAL GROUP
- Practice address
- 501 E Long St
Claxton, GA 30417-1435 - Phone
- (912) 739-3354
- NPI assigned
- Oct 25, 2006
- Last updated
- Jan 22, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Katelyn Satterfield
- Title
- Office Manager
- Phone
- (912) 739-3354
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 000461 | GA | Primary |
Addresses
Primary practice location
501 E Long St
Claxton, GA 30417-1435
Mailing address
PO Box 217
Claxton, GA 30417-0217
Phone (912) 654-0475
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300033425A | Medicaid | GA | |
| CI8763 | Other | GA | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2135910 | Southern Medical Group, LLC | Certificate of waiver | Aug 29, 2027 |
National Provider Directory
National Provider DirectoryOwnership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Primary Care Clinic/Center
- Reidsville, GA
- NPI 1710678925
Practitioners & affiliated clinicians
Practitioners 8
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.
-
- Family Nurse Practitioner
- Glennville, GA
- NPI 1902434145
-
- Nurse Practitioner
- Reidsville, GA
- NPI 1417654633
-
- Internal Medicine Physician
- Claxton, GA
- NPI 1235213158
-
- Family Medicine Physician
- Glennville, GA
- NPI 1265515019
-
- Family Nurse Practitioner
- Claxton, GA
- NPI 1649555178
-
- Medical Physician Assistant
- Glennville, GA
- NPI 1831421908
-
- Nurse Practitioner
- Reidsville, GA
- NPI 1649013368
-
- Family Nurse Practitioner
- Reidsville, GA
- NPI 1386882603
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1769040000000",
"number": "1871677880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 217",
"city": "CLAXTON",
"state": "GA",
"postal_code": "304170217",
"telephone_number": "912-654-0475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 E LONG ST",
"city": "CLAXTON",
"state": "GA",
"postal_code": "304171435",
"telephone_number": "912-739-3354"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHERN MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-25",
"last_updated": "2026-01-22",
"certification_date": "2026-01-22",
"status": "A",
"authorized_official_last_name": "SATTERFIELD",
"authorized_official_first_name": "KATELYN",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "912-739-3354"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "000461",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300033425A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CI8763",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Claxton, GA
- Jesse B Scott, MD
- Ronald Douglas Smith, RPH
- Crystal Sorg
- Southeast Lung & Critical Care Specialists, PC (Southeast Lung Associates)
- Southeast Lung and Critical Care Specialist (Southeast Lung Associates)
- Southland Evans Emergency Medical Services LLC
- Southland Evans Hospitalist Group LLC
- Radonna Rae Stevenson-Pirkle, PA-C
- Andrew D Strickland, MHS, LAT, ATC
- Tattnall Hospital Company, LLC (Optim Medical Center Tattnall Claxton)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.