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Southeast Georgia Pediatrics

Primary Care Clinic/Center in Waycross, GA · enumerated 2012 · authorized official Eugene Kallay, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1457613192

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Registry record

Entity type Organization (Type 2)
Legal business name Southeast Georgia Pediatrics
Practice address 1701 Boulevard Sq Ste D, Waycross, GA, 31501
Phone (912) 387-0445
Fax (912) 226-3513
Enumeration date Jun 8, 2012
Last updated in NPPES Jun 15, 2020

Taxonomy & classification

261QP2300X Primary Care Clinic/Center Ambulatory Health Care Facilities · License 041044 (GA) Secondary
261QP2300X Primary Care Clinic/Center Ambulatory Health Care Facilities · License 018950 (GA) Primary

Authorized official

Name Eugene Kallay
Title Owner
Phone (478) 737-7653

Other identifiers

Identifier Type State Issuer
1780767665 Other - NPI
1063595973 Other - NPI

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.

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Frequently asked questions

What is the NPI number for Southeast Georgia Pediatrics?
The NPI for Southeast Georgia Pediatrics is 1457613192, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Southeast Georgia Pediatrics?
NPPES lists Eugene Kallay (Owner) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-06-15.