NPI age
18 years
Enumerated 2007-06-12
● Active Type 2 · Organization
Mayo Clinic Health System In Waycross
Mayo Clinic Health System In Waycross is 1 of 26 pharmacy organizations in Georgia.
Primary specialty
Pharmacy
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Wheeler
Director Of Pharmacy
Last NPPES update
2023-03-07
Source: monthly bulk 2026-05
How this organization compares
Across 26 active pharmacy providers in Georgia.
NPI age
18 years
↑ 4 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-06Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
1900 Tebeau Street
Waycross, GA 315015246
Mailing address
1900 Tebeau Street
Waycross, GA 315015246
Authorized official
Benjamin Randolph Wheeler
Director Of Pharmacy
📞 9122872506
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Kelli Alford, MS, RDN, LDN Dietitian, Registered NPI 1700278868
- James Kisselburg, M,D. Hospitalist NPI 1841434255
Specialties
-
Pharmacy PrimaryA pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 108000306 | MEDCO |
| 01 (GA) | 1155476 | NCPDP |
| 01 (GA) | PHRE005914 | PHARMACY LICENSE |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
MAYO CLINIC HEALTH SYSTEM IN WAYCROSS
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
Provyx · Custom healthcare lists
Need all 26 Pharmacy providers in Georgia?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this organization
- 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.