SOUTHERN FAMILY MEDICINE OF GEORGIA, LLC – NPI #1528299393
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

SOUTHERN FAMILY MEDICINE OF GEORGIA, LLC is a provider located in STATESBORO, GA. NPPES has assigned the NPI number 1528299393 to SOUTHERN FAMILY MEDICINE OF GEORGIA, LLC on July 28, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. SOUTHERN FAMILY MEDICINE OF GEORGIA, LLC is also known by the name SOUTHERN FAMILY MEDICINE LLC. This provider is also associated with 2 additional names listed below. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 3 years ago on Aug 08, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SOUTHERN FAMILY MEDICINE OF GEORGIA, LLC below.

NPI Profile for
SOUTHERN FAMILY MEDICINE OF GEORGIA, LLC

NPI Number
1528299393
Enumeration Date

(about 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SOUTHERN FAMILY MEDICINE OF GEORGIA, LLC
Other Name: SOUTHERN FAMILY MEDICINE LLC
Other name(s)
All associated names:
Other Name
SOUTHERN FAMILY MEDICINE LLC
Former Legal Business Name
Tri-Care Family Medicine LLC
Primary location
1140 BRAMPTON AVE
STATESBORO, GA 30458
Phone: (912) 871-2273 Fax: (912) 872-3374
1 Other location(s):
308 E Long St
Claxton, GA 30417-1412
Phone: (912) 290-5235
Fax: (912) 290-5236
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CINDY RUSH
BILLING MANAGER
Phone: (912) 290-5235
Updated
Certification Date
Aug 08, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)		 GA 43354

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.