NPI age
13 years
Enumerated 2012-06-08
● Active Type 2 · Organization
Southeast Georgia Pediatrics
Southeast Georgia Pediatrics is 1 of 655 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Kallay
Owner
Last NPPES update
2020-06-15
Source: monthly bulk 2026-05
How this organization compares
Across 655 active clinic/center providers in Georgia.
NPI age
13 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2012 → 2026
2012-06Enumerated in NPPES
2012
2026
Where they practice
Primary practice location
1701 Boulevard Sq Ste D
Waycross, GA 315018022
Mailing address
1701 Boulevard Sq Ste D
Waycross, GA 315018022
Authorized official
Eugene Wynn Kallay, M.D.
Owner
📞 4787377653
Individual providers at this organization
3 individual providers on file at this primary practice address.
- Keri Hale, NP Registered Nurse NPI 1366023046
- Dannette Kallay, M.D. Pediatrics NPI 1780767665
- Lindsey Morton Pediatrics NPI 1205414240
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | 1780767665 | NPI |
| 01 | 1063595973 | NPI |
Practice context
Multi-provider organization. 3 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.