NPI age
9 years
Enumerated 2017-04-03
● Active Type 2 · Organization
Southeast Georgia Health Services, L.l.c.
Southeast Georgia Health Services, L.l.c. is 1 of 28 general acute care hospital organizations in Georgia.
Primary specialty
General Acute Care Hospital
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Wylie
Cfo
Last NPPES update
2026-03-09
Source: monthly bulk 2026-05
How this organization compares
Across 28 active general acute care hospital providers in Georgia.
NPI age
9 years
↓ 10 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2017 → 2026
2017-04Enumerated in NPPES
2017
2026
Where they practice
Primary practice location
1900 Tebeau St
Waycross, GA 315016357
Mailing address
1900 Tebeau St
Waycross, GA 315016357
Authorized official
David Wylie
Cfo
📞 9122833030
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
-
General Acute Care Hospital PrimaryDefinition to come...
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Memorial Satilla Health
-
Memorial Satilla Health
Practice context
Multi-provider organization. 20 individual providers on file at this primary address.
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