Southeast Georgia Health Services, L.L.C.
Organization Active NPI Rural Acute Care Hospital · Waycross, GA
NPI 1922530468 · NPPES record last updated Mar 9, 2026
Key facts
- NPI
- 1922530468
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Acute Care Hospital 282NR1301X
- Legal business name
- SOUTHEAST GEORGIA HEALTH SERVICES, L.L.C.
- Practice address
- 1900 Tebeau St
Waycross, GA 31501-6357 - Phone
- (912) 283-3030
- Fax
- (912) 287-2505
- NPI assigned
- Apr 3, 2017
- Organization subpart
- No
Authorized official
- Name
- David Wylie
- Title
- Cfo
- Phone
- (912) 283-3030
Other NPIs with the same Medicare PAC ID 2
Subparts reporting this organization as parent 2
Corporate family (same tax ID) 5
Related certifications (CCN) 2
Facilities with the same owner 132
Practitioners 25
-
Rong Bao, M.D.
-
Yolanda Machelle Borders, M.D.
-
David H Cheatham, MD
-
Sanya Elizabeth Gayle, M.D.
-
Eugene Wynn Kallay, M.D.
-
Sigismund S Lee, M.D.
-
Roberto Jafet Lopez Vega, M.D.
-
William Alan Morton, M.D.
-
Marium Mustafa, MD
-
Wilfredo Alexis Negron, M.D.
-
Chinonye Uzoamaka Nwoke, M.D.
-
Jaymal R Patel, M.D.
-
Ingrid Tanubrata, M.D.
-
David J Wykstra, M.D.
-
Olujide A Bamiro, MD
-
Babu Vereen Chithriki, M.D.
-
Anum Shoaib Khan, MD
-
David Maynoldi, M.D.
Affiliated clinicians 284
-
Maged Edward Abdelmalik, M.D.
-
Angela D Adams, FNP-C
-
Tayler Hutto Allen, PA-C
-
Tannis Alligood, MD
-
Chandrakanth Amaram, M.D.
-
Nirmala D Amaram, M.D.
-
Hannah Harper Banach, NP-C
-
Rong Bao, M.D.
-
Steven T. Barr, M.D.
-
Paul Kevin Beach, M.D.
-
Kelli Beard, ARNP
-
Joseph H. Bee, M.D.
-
Kelly Costello Blackmon, APRN
-
Yolanda Machelle Borders, M.D.
-
Jill G Bryant, MD
-
Mark D Byron, MD
-
Charles Wynter Callender, M.D.
Medicare Care Compare: Hospital
- Listed as
- Memorial Satilla Health
- Overall star rating
- ★★★☆☆ 3 of 5
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
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 - Hospital subgroups
- General, Acute care
All disclosed owners & managing parties 9
| Name | Role | Since | Share |
|---|---|---|---|
| HCA Inc |
5% Or Greater Indirect Ownership Interest | Oct 18, 2016 | 100% |
| Eric D Smith |
Contracted Managing Employee |
Mar 1, 2021 | |
| Other | Mar 1, 2021 | ||
| HCA Healthcare Inc |
5% Or Greater Indirect Ownership Interest | Oct 18, 2016 | 100% |
| Frisco Holding II |
5% Or Greater Indirect Ownership Interest | Feb 6, 2026 | 16.3% |
| David Alan Wylie |
Corporate Officer |
Dec 31, 2025 | |
| W-2 Managing Employee |
Dec 31, 2025 | ||
| Hercules Holding II |
5% Or Greater Indirect Ownership Interest | Oct 18, 2016 | 14.4% |
| Healthtrust Inc - the Hospital Company |
5% Or Greater Indirect Ownership Interest | Oct 16, 2016 | 100% |
| Hti Hospital Holdings Inc |
5% Or Greater Direct Ownership Interest | Oct 18, 2016 | 100% |
| Damon Luke Barrett |
Corporate Officer |
Sep 2, 2025 | |
| W-2 Managing Employee |
Sep 2, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170526001589 | GA | Part a Provider - Hospital | 8123395928 | Practice locations: Waycross, GA |
National Provider Directory
- Tax ID family
- Southeast Georgia Health Services LLC
Locations
2500 Satilla Pkwy
Waycross, GA 31503
Phone (912) 283-3030
Interoperability endpoints
- satilla.cocmsh.kyb@ccda.hcadirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Acute Care Hospital | 282NR1301X | Yes |
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
- Memorial Satilla Health
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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 |
Other providers in Waycross, GA
- Southeast Diagnostics LLC
- Southeast Georgia Anesthesia LLC
- Southeast Georgia Gastroenterology PC
- Southeast Georgia Health Services, L.L.C.
- Southeast Georgia Health Services, L.L.C.
- Southeast Georgia Mobile Therapy
- Southeast Georgia Pediatrics
- Southeast Georgia Primary Care
- Southeast Internal Medicine PC
- Southeast Lung & Critical Care Specialists, PC
All providers in Waycross, GA · Rural Acute Care Hospital in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 9, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.