Southeast Georgia Pediatrics
NPI 1457613192 · Primary Care Clinic/Center · Waycross, GA
Southeast Georgia Pediatrics is a Primary Care Clinic/Center organization in Waycross, GA (NPI 1457613192).
Provider details
- NPI number
- 1457613192
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Eugene Kallay, Owner(478) 737-7653
- License
- 041044 (GA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
- 2012-06-08
- Last updated
- 2020-06-15
- Certified
- 2020-06-15
Frequently asked questions
- What is Southeast Georgia Pediatrics's NPI number?
- Southeast Georgia Pediatrics's National Provider Identifier (NPI) is 1457613192, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southeast Georgia Pediatrics?
- Southeast Georgia Pediatrics is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Southeast Georgia Pediatrics located?
- Southeast Georgia Pediatrics's practice location on file with NPPES is 1701 Boulevard Sq Ste D, Waycross, GA 31501-8022.
- What is Southeast Georgia Pediatrics's phone number?
- The practice phone number listed in the NPPES registry for Southeast Georgia Pediatrics is (912) 387-0445.
- Who is the authorized official for Southeast Georgia Pediatrics?
- The authorized official listed on Southeast Georgia Pediatrics's NPPES record is Eugene Kallay, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southeast Georgia Pediatrics's NPI active?
- Yes — Southeast Georgia Pediatrics's NPI (1457613192) is active in the NPPES registry as of the last update on 2020-06-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.