OrganizationActive
Georgia Physician South,pc
NPI 1639381171 · Clinical Medical Laboratory · Blackshear, GA
Georgia Physician South,pc is a Clinical Medical Laboratory organization in Blackshear, GA (NPI 1639381171).
Provider details
- NPI number
- 1639381171
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Susan Brickle, Lab Supervisor(912) 449-4426
Specialties & taxonomies
Laboratories
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
120 Carter Ave
Blackshear, GA 31516
Phone: (912) 449-4426
Fax: (912) 449-1517
Approximate (ZIP-level) locationGet directions
Mailing address
120 Carter Ave
Blackshear, GA 31516
Registry dates
- Enumerated
- 2007-05-04
- Last updated
- 2015-03-26
Frequently asked questions
- What is Georgia Physician South,pc's NPI number?
- Georgia Physician South,pc's National Provider Identifier (NPI) is 1639381171, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Georgia Physician South,pc?
- Georgia Physician South,pc is classified in the NPPES registry as Clinical Medical Laboratory (Laboratories).
- Where is Georgia Physician South,pc located?
- Georgia Physician South,pc's practice location on file with NPPES is 120 Carter Ave, Blackshear, GA 31516.
- What is Georgia Physician South,pc's phone number?
- The practice phone number listed in the NPPES registry for Georgia Physician South,pc is (912) 449-4426.
- Who is the authorized official for Georgia Physician South,pc?
- The authorized official listed on Georgia Physician South,pc's NPPES record is Susan Brickle, Lab Supervisor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Georgia Physician South,pc's NPI active?
- Yes — Georgia Physician South,pc's NPI (1639381171) is active in the NPPES registry as of the last update on 2015-03-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.