Satilla Rheumatology and Internal Medicine, PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

055229 Issued in GA

Legal business name

SATILLA RHEUMATOLOGY AND INTERNAL MEDICINE, PC

Practice address

615-A Pendleton Street
Waycross, GA 31501-4724

Phone

(912) 548-0710

Fax

(912) 548-0071

NPI assigned

Jan 6, 2010

Last updated

Sep 18, 2014By 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. Charles Galea, M.D.NPI 1174517502

Title

Owner

Phone

(912) 548-0710

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

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 9

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.

• Charles Galea, M.D.

  • Rheumatology Physician
  • Waycross, GA
  • NPI 1174517502
  Medicare reassignment Care Compare group NPD Authorized official
• Amanda Gayle Petty, APRN

  • Primary Care Nurse Practitioner
  • Waycross, GA
  • NPI 1174301386
  Medicare reassignment Care Compare group NPD
• Barbara D Pittman, FNP-C

  • Family Nurse Practitioner
  • Waycross, GA
  • NPI 1003208497
  Medicare reassignment Care Compare group NPD
• Pushpa Singh, NP-C

  • Family Nurse Practitioner
  • Waycross, GA
  • NPI 1851830285
  Medicare reassignment Care Compare group NPD
• Taylor S Swinea, ARNP

  • Gerontology Nurse Practitioner
  • Waycross, GA
  • NPI 1740788413
  Medicare reassignment Care Compare group NPD
• Betsy Erin Tanner, MSN-FNP, BC

  • Nurse Practitioner
  • Waycross, GA
  • NPI 1295387751
  Medicare reassignment Care Compare group NPD
• Kymberly D Anderson, NP

  • Family Nurse Practitioner
  • Alma, GA
  • NPI 1093180481
  Medicare reassignment Care Compare group
• Keisha Camille Maloney, MD

  • Rheumatology Physician
  • Covington, GA
  • NPI 1992996540
  Medicare reassignment NPD
• Jennifer Miller Rafus, M.S., FNP, LIC. AC.

  • Family Nurse Practitioner
  • Waycross, GA
  • NPI 1114007630
  Medicare reassignment NPD

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

{
    "created_epoch": "1262736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410998400000",
    "number": "1871823302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615-A PENDLETON STREET",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315014724",
            "telephone_number": "912-548-0710",
            "fax_number": "912-548-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615-A PENDLETON STREET",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315014724",
            "telephone_number": "912-548-0710",
            "fax_number": "912-548-0071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SATILLA RHEUMATOLOGY AND INTERNAL MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-06",
        "last_updated": "2014-09-18",
        "status": "A",
        "authorized_official_last_name": "GALEA",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-548-0710",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "055229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Satilla Family Medicine, P.C.
• Satilla Foot and Ankle, LLC
• Satilla Foot and Ankle, LLC
• Satilla Health Management Inc (Satilla Convenient Care)
• Satilla Reliant Psychiatric Services, LLC (Satilla Regional Center for Memory Disorders)
• Satilla Spine Center
• Serenity Health & Wellness, LLC
• Roxy J Sheffield, P.A.
• Don Michael Shepherd, RPH
• Jawad Sheqwara, M.D

• Specialist in Waycross, GA
• Providers in Waycross, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2014; 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.

Verify at the official NPI Registry.