Southern Pharmacy Group LLC
NPI 1154922441 · Community/Retail Pharmacy · Jesup, GA
Enrolled with Medicare as Part B Supplier - Mass Immunization (roster Biller Only) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southern Pharmacy Group LLC is a Community/Retail Pharmacy organization in Jesup, GA (NPI 1154922441).
Provider details
- NPI number
- 1154922441
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Travis Harrison, Owner(912) 294-1684
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
5 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
12 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Administration of Influenza Virus VaccineG0008 | 12 | $30 |
Typical Medicare-allowed amounts for these services range $30–$30 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-11-04
- Last updated
- 2020-11-04
- Certified
- 2020-11-04
Frequently asked questions
- What is Southern Pharmacy Group LLC's NPI number?
- Southern Pharmacy Group LLC's National Provider Identifier (NPI) is 1154922441, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Pharmacy Group LLC?
- Southern Pharmacy Group LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Southern Pharmacy Group LLC located?
- Southern Pharmacy Group LLC's practice location on file with NPPES is 110 Allison St., Jesup, GA 31545.
- What is Southern Pharmacy Group LLC's phone number?
- The practice phone number listed in the NPPES registry for Southern Pharmacy Group LLC is (912) 559-2961.
- Does Southern Pharmacy Group LLC accept Medicare?
- Southern Pharmacy Group LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Southern Pharmacy Group LLC?
- The authorized official listed on Southern Pharmacy Group LLC's NPPES record is Travis Harrison, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Pharmacy Group LLC's NPI active?
- Yes — Southern Pharmacy Group LLC's NPI (1154922441) is active in the NPPES registry as of the last update on 2020-11-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.