SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS, PC (NPI# 1457776916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457776916 |
| Entity Type | Organization |
| Organization Name | SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS, PC |
| Other Organization Name | SOUTHEAST LUNG ASSOCIATES |
| Practice Address |
201 N River St Claxton GA 30417-1658 |
| Mailing Address |
340 Hodgson Ct Suite #2 Savannah GA 31406-1520 |
| Practice Telephone | 9128195757 |
| Practice Fax Number | 9128195753 |
| Mailing Telephone | 9126292290 |
| Mailing Fax Number | 9126292291 |
| Enumeration Date | 2014-02-20 |
| Last Update Date | 2014-02-20 |
| Authorized Official Name | HEATHER WILLIAMS (CFO) |
| Authorized Official Telephone | 9129276270 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000148519L | 05 | |
| GA | 487007710A | 05 | |
| GA | 000788818L | 05 | |
| GA | 000526336A | 05 | |
| GA | 000914922A | 05 | |
| GA | 696088793A | 05 |
| Other Name | Type Code |
|---|---|
| Southeast Lung Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770989154 | Southeast Lung & Critical Care Specialists, PC | Internal Medicine | 800 East 68th Street, Landmark Hospital, Savannah, GA 31405 | 2014-11-12 |
| 1790020444 | Southeast Lung & Critical Care Specialists, PC | Internal Medicine | 215 Sheraton Blvd, Suite 2, Macon, GA 31210-1359 | 2012-12-06 |
| 1164789251 | Southeast Lung & Critical Care Specialists, PC | Internal Medicine | 8 Okatie Center Blvd S, Suite 101, Bluffton, SC 29909-7532 | 2012-04-13 |
| 1104346394 | Southeast Lung & Critical Care Specialists, PC | Internal Medicine | 7 Rosewood Ave, Tybee Island, GA 31328-9435 | 2017-06-20 |
| 1235591652 | Southeast Lung & Critical Care Specialists, PC | Internal Medicine | 105 Grand Central Blvd, Suite 108, Pooler, GA 31322-4148 | 2016-03-24 |
| 1447628789 | Southeast Lung & Critical Care Specialists, PC | Internal Medicine | 370 Peachtree St, Jesup, GA 31545-0244 | 2015-09-03 |
| 1972901395 | Southeast Lung & Critical Care Specialists, PC | Internal Medicine | 5354 Reynolds St, Suite #318, Savannah, GA 31405-6007 | 2014-12-17 |
| 1588060446 | Southeast Lung & Critical Care Specialists, PC | Internal Medicine | 166 Memorial Dr, Jesup, GA 31545-0101 | 2014-11-05 |
| 1922402122 | Southeast Lung & Critical Care Specialists, PC | Internal Medicine | 230 Memorial Dr, Jesup, GA 31545-0102 | 2014-10-16 |
| 1447675905 | Southeast Lung & Critical Care Specialists, PC | Internal Medicine | 340 Hodgson Ct, Suite #2, Savannah, GA 31406-1520 | 2014-02-20 |
| Street Address |
201 N RIVER ST |
| City | CLAXTON |
| State | GA |
| Zip Code | 30417-1658 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235621418 | East Georgia Healthcare Center Inc | Clinic/Center | 6459 Us Hwy 301 S, Claxton, GA 30417 | 2018-06-04 |
| 1760717433 | Evans Memorial Hospital | Family Medicine | 602 A E. Long St., Claxton, GA 30417 | 2009-10-13 |
| 1215147095 | Lindy Homer Morgan | Chiropractor | 604 West Liberty Street, Claxton, GA 30417 | 2007-05-23 |
| 1588792113 | Home Care Aids, Inc. | Durable Medical Equipment & Medical Supplies | 107-b S. Duval St., Claxton, GA 30417 | 2007-03-02 |
| 1245314053 | Paul R Hawkins | Family Medicine | 501 E. Long Street, Claxton, GA 30417 | 2006-10-25 |
| 1235213158 | Jesse B Scott | Internal Medicine | 602 E. Long Street, Claxton, GA 30417 | 2006-10-25 |
| 1336533199 | Optim Orthopedics, LLC | Orthopaedic Surgery | 209 North River Street, Claxton, GA 30417 | 2015-03-19 |
| 1649555178 | Suzannah Jo Williamson | Nurse Practitioner | 602 E. Long Street, Claxton, GA 30417 | 2011-10-16 |
| 1184021347 | Charles E.kelly & Company | Counselor | 409 Oak St, Claxton, GA 30417-1351 | 2014-12-03 |
| 1073963476 | Claxton Family Dentistry LLC | Dentist | 201 E Long St, Claxton, GA 30417-1409 | 2016-06-16 |
| Find all providers in zip 30417 | ||||
| Taxonomy Code | 207RS0012X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Sleep Medicine |
| An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. |
| Notes: Source: American Academy of Sleep Medicine, www.aasm.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043817992 | Ognomy Ga LLC | Internal Medicine | 3750 Palladian Village Dr Ste 120, Marietta, GA 30066-8202 | 2020-10-05 |
| 1275048043 | Digicom Healthcare Solution | Internal Medicine | 3330 S Cobb Dr Se Ste B, Smyrna, GA 30080-4128 | 2017-12-03 |
| 1790020444 | Southeast Lung & Critical Care Specialists, PC | Internal Medicine | 215 Sheraton Blvd, Suite 2, Macon, GA 31210-1359 | 2012-12-06 |
| 1447501812 | Advanced Center for Sleep Disorders, Inc | Internal Medicine | 2052 Highway 41, Ringgold, GA 30736-6455 | 2012-09-26 |
| 1265755839 | Southeast Lung & Critical Care Specialists | Internal Medicine | 895 S 1st St, Jesup, GA 31545-0210 | 2010-03-10 |
| 1053634618 | Southeast Lung & Critical Care Specialists | Internal Medicine | 340 Eisenhower Dr Ste 1500, Savannah, GA 31406-1603 | 2010-03-10 |
| 1902812985 | Palghat V Mohan | Internal Medicine | 357 Villa Park Cir, Stone Mountain, GA 30087-3503 | 2006-07-31 |
| 1033115258 | Abul Faiz Matin | Internal Medicine | 993-c Johnson Ferry Road, Ste 301, Atlanta, GA 30342 | 2005-06-22 |
| 1558984252 | Advantage Medical Supply, Inc. | Internal Medicine | 1202 Hillcrest Pkwy Ste A, Dublin, GA 31021-3053 | 2020-05-28 |
| 1801415765 | Atlas Sleep Disorders Center Inc. | Internal Medicine | 1202 Hillcrest Pkwy Ste A, Dublin, GA 31021-3053 | 2020-04-10 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.