Hazlehurst Family Clinic LLC
NPI 1578743985 · Family Medicine Physician · Douglas, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Hazlehurst Family Clinic LLC is a Family Medicine Physician organization in Douglas, GA (NPI 1578743985).
Provider details
- NPI number
- 1578743985
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Umamaheswari Jonnalagadda, Officer(912) 383-9300
- License
- GA042299 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
- 2007-11-14
- Last updated
- 2007-11-14
Frequently asked questions
- What is Hazlehurst Family Clinic LLC's NPI number?
- Hazlehurst Family Clinic LLC's National Provider Identifier (NPI) is 1578743985, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Hazlehurst Family Clinic LLC?
- Hazlehurst Family Clinic LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Hazlehurst Family Clinic LLC located?
- Hazlehurst Family Clinic LLC's practice location on file with NPPES is 906 Bryan St W, Douglas, GA 31533-2330.
- What is Hazlehurst Family Clinic LLC's phone number?
- The practice phone number listed in the NPPES registry for Hazlehurst Family Clinic LLC is (912) 383-9300.
- Does Hazlehurst Family Clinic LLC accept Medicare?
- Hazlehurst Family Clinic 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 Hazlehurst Family Clinic LLC?
- The authorized official listed on Hazlehurst Family Clinic LLC's NPPES record is Umamaheswari Jonnalagadda, Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Hazlehurst Family Clinic LLC's NPI active?
- Yes — Hazlehurst Family Clinic LLC's NPI (1578743985) is active in the NPPES registry as of the last update on 2007-11-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.