Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wayne Sjc Medical Group, LLC

Organization Family Medicine Physician · NPI 1538421177

Wayne Sjc Medical Group, LLC is a Family Medicine Physician in Jesup, Georgia. Registered with an NPI since 2012.

In the registry since
2012
Specialties on file
6
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

320 Peachtree St
Jesup, GA 31545-0244
Phone: (912) 427-7790
Fax: (912) 427-7707
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X
Family Medicine Physician Taxonomy 207Q00000X
Cardiovascular Disease Physician Taxonomy 207RC0000X
Critical Care Medicine (Internal Medicine) Physician Taxonomy 207RC0200X
Orthopaedic Surgery Physician Taxonomy 207X00000X
Audiologist Taxonomy 231H00000X

Record details

NPI number1538421177
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joseph Ierardi — Ceo · (912) 427-7790
NPI enumeratedJune 11, 2012
Last updated in NPPESAugust 25, 2016
Mailing address320 Peachtree St, Jesup, GA 31545-0244

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