Southeast Georgia Primary Care
NPI 1053429688 · Family Medicine Physician · Waycross, GA
Southeast Georgia Primary Care is a Family Medicine Physician organization in Waycross, GA (NPI 1053429688).
Provider details
- NPI number
- 1053429688
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Matthew Prohaska, Doctor(912) 283-1359
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-08-25
- Last updated
- 2020-08-22
Frequently asked questions
- What is Southeast Georgia Primary Care's NPI number?
- Southeast Georgia Primary Care's National Provider Identifier (NPI) is 1053429688, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southeast Georgia Primary Care?
- Southeast Georgia Primary Care is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Southeast Georgia Primary Care located?
- Southeast Georgia Primary Care's practice location on file with NPPES is 409 Uvalda St, Waycross, GA 31501-4574.
- What is Southeast Georgia Primary Care's phone number?
- The practice phone number listed in the NPPES registry for Southeast Georgia Primary Care is (912) 283-1359.
- Who is the authorized official for Southeast Georgia Primary Care?
- The authorized official listed on Southeast Georgia Primary Care's NPPES record is Matthew Prohaska, Doctor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southeast Georgia Primary Care's NPI active?
- Yes — Southeast Georgia Primary Care's NPI (1053429688) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.