Southeast Internal Medicine PC
Southeast Internal Medicine PC is a healthcare organization registered as Internal Medicine Physician in Waycross, GA, holding Type 2 (organization) NPI 1104847607 since 2006. The authorized official on file is Pauline Bellecci, Physician.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1104847607 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Southeast Internal Medicine PC |
| Practice address | 406 RIVERSIDE DR, Waycross, GA, 31501 |
| Phone | 9122871555 |
| Enumeration date | 2006-07-21 |
| Last updated in NPPES | 2014-06-05 |
Authorized official
| Name | Pauline Bellecci |
|---|---|
| Title | Physician |
| Phone | 9122871555 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207R00000X | Internal Medicine Physician | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GRP642 | Other | GA | MEDICARE PTAN |
| CC4999 | Other | GA | PALMETTO GBA MEDICARE |
Copy-ready billing details
Provider: Southeast Internal Medicine PC NPI: 1104847607 Taxonomy: 207R00000X (Internal Medicine Physician) Address: 406 RIVERSIDE DR, Waycross, GA, 31501
Verify this record
Cross-check NPI 1104847607 against the authoritative CMS record: view Southeast Internal Medicine PC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Southeast Internal Medicine PC?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2014-06-05.