NPI age
19 years
Enumerated 2006-12-14
● Active Type 2 · Organization
Mayo Clinic Health System In Waycross, Inc.
Mayo Clinic Health System In Waycross, Inc. is 1 of 62 rehabilitation unit organizations in Georgia.
Primary specialty
Rehabilitation Unit
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Hoffman
Cfo
Last NPPES update
2016-08-15
Source: monthly bulk 2026-05
How this organization compares
Across 62 active rehabilitation unit providers in Georgia.
NPI age
19 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-12Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
1900 Tebeau St
Waycross, GA 315016357
Mailing address
1900 Tebeau Street
Waycross, GA 31501
Authorized official
George Hoffman
Cfo
📞 9122874213
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
-
Rehabilitation Unit PrimaryIn general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum...
Practice context
Multi-provider organization. 20 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 →
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