OrganizationActive
Fci Jesup
NPI 1508538679 · Prison Health Clinic/Center · Jesup, GA
Provider details
- NPI number
- 1508538679
- Entity type
- Organization
- Primary specialty
- Prison Health Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Federal Bureau of Prisons
- Organization subpart
- Yes
- Authorized official
- Patrick Tully, Chief Pharmacist(912) 427-0870
Specialties & taxonomies
Ambulatory Health Care Facilities
- Clinic Pharmacy3336C0002X
Suppliers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
2600 Highway 301 South
Jesup, GA 31599-0001
Phone: (912) 427-0870
Street-level locationGet directions
Mailing address
2600 Highway 301 South
Jesup, GA 31599-0001
Registry dates
- Enumerated
- 2021-09-28
- Last updated
- 2021-09-28
- Certified
- 2021-09-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.