NPIMap

Organization Active NPI

Southeast Georgia Health Services, L.L.C.

Doing business as Memorial Satilla Health

  • Rural Acute Care Hospital
  • Waycross, GA
National Provider Identifier
1922530468
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Acute Care HospitalTaxonomy code 282NR1301X
Legal business name
SOUTHEAST GEORGIA HEALTH SERVICES, L.L.C.
Doing business as
Memorial Satilla Health
Practice address
1900 Tebeau St
Waycross, GA 31501-6357
Phone
(912) 283-3030
Fax
(912) 287-2505
NPI assigned
Apr 3, 2017
Last updated
Mar 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
David Wylie
Title
Cfo
Phone
(912) 283-3030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Acute Care Hospital 282NR1301X Primary

Addresses

Primary practice location

1900 Tebeau St
Waycross, GA 31501-6357

Mailing address

1900 Tebeau St
Waycross, GA 31501-6357
Phone (912) 283-3030

Other names 1

  • Memorial Satilla Health Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address SATILLA.COCMSH.KYB@CCDA.HCADIRECT.NET
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170526001589 GA Part A Provider - Hospital 8123395928 Practice locations: Waycross, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1922530468. Details of each certification follow.

Hospital certification: CCN 110003

Legal name
SOUTHEAST GEORGIA HEALTH SERVICES, LLC
Doing business as
MEMORIAL SATILLA HEALTH
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Apr 3, 2025
Beds
237
Ownership / control type
Private (not for profit)
Most recent change of ownership
May 1, 2017 (3 total)
Organization structure
LLC
Incorporated
Oct 18, 2016 in DE
Enrollment address
1900 Tebeau St
Waycross, GA 31501-6357
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Memorial Satilla HealthCCN 110003 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Southeast Georgia Health Services LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
HCA Inc Organization, Nashville, TN Corporation, For-profit 5% Or Greater Indirect Ownership Interest Oct 18, 2016 100%
Eric D Smith Individual Contracted Managing EmployeeVice President of Reimbursement Mar 1, 2021
Other Mar 1, 2021
HCA Healthcare Inc Organization, Nashville, TN Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Oct 18, 2016 100%
Frisco Holding II Organization, Nashville, TN Holding company 5% Or Greater Indirect Ownership Interest Feb 6, 2026 16.3%
David Alan Wylie Individual Corporate OfficerCfo Dec 31, 2025
W-2 Managing EmployeeCfo Dec 31, 2025
Hercules Holding II Organization, Nashville, TN Holding company 5% Or Greater Indirect Ownership Interest Oct 18, 2016 14.4%
Healthtrust Inc - the Hospital Company Organization, Nashville, TN Corporation, For-profit 5% Or Greater Indirect Ownership Interest Oct 16, 2016 100%
Hti Hospital Holdings Inc Organization, Nashville, TN Corporation, Holding company, For-profit 5% Or Greater Direct Ownership Interest Oct 18, 2016 100%
Damon Luke Barrett Individual Corporate OfficerCeo Sep 2, 2025
W-2 Managing EmployeeCeo Sep 2, 2025

Facilities with the same owner 132

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 132

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 25

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.

View all 25

Affiliated clinicians 284

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 284

NPI Registry JSON

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

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773014400000",
    "number": "1922530468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 TEBEAU ST",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315016357",
            "telephone_number": "912-283-3030",
            "fax_number": "912-287-2505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 TEBEAU ST",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315016357",
            "telephone_number": "912-283-3030",
            "fax_number": "912-287-2505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST GEORGIA HEALTH SERVICES, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-03",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A",
        "authorized_official_last_name": "WYLIE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "912-283-3030"
    },
    "taxonomies": [
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SATILLA.COCMSH.KYB@CCDA.HCADIRECT.NET",
            "affiliation": "N",
            "endpointDescription": "Please contact CORP.HCACEP@HCAHealthcare.com for information regarding validation steps that may be required to ensure CCDs sent to the listed direct address are successfully received.",
            "address_1": "1900 Tebeau St",
            "city": "Waycross",
            "state": "GA",
            "country_code": "US",
            "postal_code": "315016357",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd Ste B",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Memorial Satilla Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Memorial Satilla Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waycross, GA

Sources for this page

Verify at the official NPI Registry.