South Georgia Drug Company LLC
NPI 1194345777 · Community/Retail Pharmacy · Tifton, GA
Enrolled with Medicare as Part B Supplier - Mass Immunization (roster Biller Only) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
South Georgia Drug Company LLC is a Community/Retail Pharmacy organization in Tifton, GA (NPI 1194345777).
Provider details
- NPI number
- 1194345777
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Lucas Brown, Owner(229) 586-8193
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
6 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
68 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 | 68 | $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
Other names (DBA / former)
- Doing business as
- Friendly City Pharmacy
- Doing business as
- Friendly City Pharmacy
Registry dates
- Enumerated
- 2020-04-23
- Last updated
- 2021-03-10
- Certified
- 2021-03-10
Frequently asked questions
- What is South Georgia Drug Company LLC's NPI number?
- South Georgia Drug Company LLC's National Provider Identifier (NPI) is 1194345777, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Georgia Drug Company LLC?
- South Georgia Drug Company LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is South Georgia Drug Company LLC located?
- South Georgia Drug Company LLC's practice location on file with NPPES is 1202 US Highway 41 N, Tifton, GA 31794-3202.
- What is South Georgia Drug Company LLC's phone number?
- The practice phone number listed in the NPPES registry for South Georgia Drug Company LLC is (229) 563-6689.
- Does South Georgia Drug Company LLC accept Medicare?
- South Georgia Drug Company 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 South Georgia Drug Company LLC?
- The authorized official listed on South Georgia Drug Company LLC's NPPES record is Lucas Brown, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South Georgia Drug Company LLC's NPI active?
- Yes — South Georgia Drug Company LLC's NPI (1194345777) is active in the NPPES registry as of the last update on 2021-03-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.