NPI age
9 years
Enumerated 2017-04-04
● Active Type 2 · Organization
Subpart
Southeast Georgia Health Services, L.l.c.
Southeast Georgia Health Services, L.l.c. is 1 of 57 psychiatric unit organizations in Georgia.
Primary specialty
Psychiatric Unit
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Lynch
Interim Cfo
Last NPPES update
2025-09-24
Source: monthly bulk 2026-05
How this organization compares
Across 57 active psychiatric unit providers in Georgia.
NPI age
9 years
↓ 7 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2017 → 2026
2017-04Enumerated in NPPES
2017
2026
Where they practice
Primary practice location
1900 Tebeau St
Waycross, GA 315016357
Mailing address
1900 Tebeau St
Waycross, GA 315016357
Authorized official
Tim Lynch
Interim Cfo
📞 9122872500
Individual providers at this organization
20 individual providers on file at this primary practice address.
- Lydia Aultman, REGISTERED DIETITIAN Dietitian, Registered NPI 1114153277
- Rong Bao, M.D. Internal Medicine NPI 1861055378
- Eric Belcher, MD, AAHIVS,MLS,SM,MB Family Medicine NPI 1902591233
- Margaret Bishop Physician Assistant NPI 1699179663
- James Bloodworth, MD Pathology NPI 1235112913
- Mohammad Omar Butt, MD Internal Medicine NPI 1346800331
- Emma Cook, RD Dietitian, Registered NPI 1528427838
- Ashley Deen Nurse Practitioner NPI 1770274953
- Jonathan Dial, P.A. Physician Assistant NPI 1366523292
- Stacy Edgar, ARNP Nurse Practitioner NPI 1851869150
- Robert Giles, MD Emergency Medicine NPI 1407389273
- David Gill, MSHS, PA Physician Assistant NPI 1952743932
- Hector Gonzalez Fajardo, MD Internal Medicine NPI 1104322056
- Anthony Herrington, NP Nurse Practitioner NPI 1972173748
- Allison Huck, RD Dietitian, Registered NPI 1740648393
- Carmen Jackson, FNP Nurse Practitioner NPI 1306368329
- Mary Justyn, CRNA Nurse Anesthetist, Certified Registered NPI 1275655987
- Breveenn Kukan Student in an Organized Health Care Education/Training Program NPI 1689434557
- Roberto Lopez Vega, M.D. Hospitalist NPI 1891073482
- Madhavi Madupuri, MBBS Family Medicine NPI 1356903306
Specialties
-
Psychiatric Unit PrimaryIn general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Memorial Satilla Health
Practice context
Multi-provider organization. 20 individual providers on file at this primary address.
Subpart of Southeast Georgia Health Services, L.l.c..
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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