NPI age
4 years
Enumerated 2021-09-28
● Active Type 2 · Organization
Subpart
Fci Jesup
Fci Jesup is 1 of 4 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Tully
Chief Pharmacist
Last NPPES update
2021-09-28
Source: monthly bulk 2026-05
How this organization compares
Across 4 active clinic/center providers in Georgia.
NPI age
4 years
↓ 7 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 25% of peers with subspecialties
NPI lifetime · 2021 → 2026
2021-09Enumerated in NPPES
2021
2026
Where they practice
Primary practice location
2600 Highway 301 South
Jesup, GA 315990001
Mailing address
2600 Highway 301 South
Jesup, GA 315990001
Authorized official
Patrick Tully
Chief Pharmacist
📞 9124270870
Specialties
-
Clinic/Center PrimaryDefinition to come...
-
PharmacyA pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
Practice context
Single-site organization. Only one practice location on file.
Subpart of Federal Bureau Of Prisons.
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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.