St. Jude'S Internal Medicine, LLC
NPI 1477863579 · Specialist · Woodstock, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
St. Jude'S Internal Medicine, LLC is a Specialist organization in Woodstock, GA (NPI 1477863579).
Provider details
- NPI number
- 1477863579
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Osborne D'Souza, Provider(678) 324-7406
Specialties & taxonomies
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
- 2010-10-07
- Last updated
- 2014-05-08
Frequently asked questions
- What is St. Jude'S Internal Medicine, LLC's NPI number?
- St. Jude'S Internal Medicine, LLC's National Provider Identifier (NPI) is 1477863579, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is St. Jude'S Internal Medicine, LLC?
- St. Jude'S Internal Medicine, LLC is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is St. Jude'S Internal Medicine, LLC located?
- St. Jude'S Internal Medicine, LLC's practice location on file with NPPES is 1198 Buckhead Xing, Woodstock, GA 30189-4257.
- What is St. Jude'S Internal Medicine, LLC's phone number?
- The practice phone number listed in the NPPES registry for St. Jude'S Internal Medicine, LLC is (678) 324-7406.
- Does St. Jude'S Internal Medicine, LLC accept Medicare?
- St. Jude'S Internal Medicine, 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 St. Jude'S Internal Medicine, LLC?
- The authorized official listed on St. Jude'S Internal Medicine, LLC's NPPES record is Osborne D'Souza, Provider. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is St. Jude'S Internal Medicine, LLC's NPI active?
- Yes — St. Jude'S Internal Medicine, LLC's NPI (1477863579) is active in the NPPES registry as of the last update on 2014-05-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.