NPI age
19 years
Enumerated 2006-07-21
● Active Type 2 · Organization
Southeast Internal Medicine Pc
Southeast Internal Medicine Pc is 1 of 5027 internal medicine organizations in Georgia.
Primary specialty
Internal Medicine
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Bellecci
Physician
Last NPPES update
2014-06-05
Source: monthly bulk 2026-05
How this organization compares
Across 5027 active internal medicine providers in Georgia.
NPI age
19 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-07Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
406 Riverside Dr
Waycross, GA 315015315
Mailing address
Po Box 777
Waycross, GA 315020777
Authorized official
Pauline M Bellecci, MD
Physician
📞 9122871555
Specialties
-
Internal Medicine PrimaryA physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer,...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | GRP642 | MEDICARE PTAN |
| 01 (GA) | CC4999 | PALMETTO GBA MEDICARE |
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.