SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS (NPI# 1164711818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164711818 |
| Entity Type | Organization |
| Organization Name | SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS |
| Practice Address |
515 E Winthrope Ave Millen GA 30442-1818 |
| Mailing Address |
340 Eisenhower Dr Bldg 1500 Savannah GA 31406-1600 |
| Practice Telephone | 9123546614 |
| Practice Fax Number | 9123569078 |
| Mailing Telephone | 9123546614 |
| Mailing Fax Number | 9123569078 |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2011-04-04 |
| Authorized Official Name | DR. JAMES A DALY III (CEO) |
| Authorized Official Telephone | 9123546614 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
36358 | GA | Allopathic & Osteopathic Physicians |
| Y | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
36358 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | RAILROAD MEDICARE | CI9902 | 01 |
| GA | RAILROAD MEDICARE | CI7230 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366064164 | Southeast Lung & Critical Care Specialists | Internal Medicine | 1745 City Circle Rd, Baxley, GA 31513-7059 | 2020-05-14 |
| 1689998536 | Southeast Lung & Critical Care Specialists | Internal Medicine | 209c Mims Rd, Sylvania, GA 30467-1994 | 2010-03-22 |
| 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 |
| 1932438850 | Southeast Lung & Critical Care Specialists | Sleep Specialist, PhD | 16741 Fair Rd, Professional Park, G, Statesboro, GA 30458 | 2009-12-24 |
| 1972788081 | Southeast Lung & Critical Care Specialists | Clinic/Center | 447 B. West General Screven Way, Hinesville, GA 31313 | 2008-01-08 |
| 1386914109 | Southeast Lung & Critical Care Specialists | Internal Medicine | 60 Exchange St, Suite B-7, Richmond Hill, GA 31324-7644 | 2012-01-10 |
| 1306142070 | Southeast Lung & Critical Care Specialists | Internal Medicine | 131 Memorial Dr, Reidsville, GA 30453-4641 | 2011-01-28 |
| 1871823187 | Southeast Lung & Critical Care Specialists | Sleep Specialist, PhD | 131 Memorial Dr, Reidsville, GA 30453-4641 | 2010-01-08 |
| 1790015253 | Southeast Lung & Critical Care Specialists | Sleep Specialist, PhD | 200 Doctors Dr, Ste. 112, Douglas, GA 31533-2201 | 2010-01-06 |
| Street Address |
515 E WINTHROPE AVE |
| City | MILLEN |
| State | GA |
| Zip Code | 30442-1818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811443468 | Jennifer Lunsford | Nurse Practitioner | 961 East Winthrope Ave, Millen, GA 30442 | 2016-09-01 |
| 1669522801 | Ogeechee Behavioral Health Services | Community/Behavioral Health | 727 Virginia Avenue, Millen, GA 30442 | 2007-01-11 |
| 1669535514 | Jenkins County Boe | Local Education Agency (LEA) | 1152 E Winthrope Ave, Millen, GA 30442 | 2006-12-19 |
| 1437236320 | Modesto L Campo | Internal Medicine | 961 E. Winthrope Avenue, Millen, GA 30442 | 2006-10-31 |
| 1316020696 | Pamela W. Drake | Registered Nurse | 709 Virginia Ave., Millen, GA 30442 | 2006-10-23 |
| 1669555702 | Donna E. Hendley | Registered Nurse | 709 Virginia Avenue, Millen, GA 30442 | 2006-10-23 |
| 1255384327 | Jenkins County Board of Health | Public Health or Welfare | 709 Virginia Ave, Millen, GA 30442 | 2006-05-18 |
| 1033186648 | Edmund Gordon Byne | Family Medicine | 961 E Winthrope Ave, Millen, GA 30442 | 2006-03-02 |
| 1497800098 | Amanda Harrison | Counselor | 727 Virginia Avenue, Millen, GA 30442 | 2007-01-24 |
| 1790962256 | Millen Home Care Medical, Inc | Durable Medical Equipment & Medical Supplies | 530 College Ave, Millen, GA 30442-1602 | 2008-01-28 |
| Find all providers in zip 30442 | ||||
| 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 |
| 1457776916 | Southeast Lung & Critical Care Specialists, PC | Internal Medicine | 201 N River St, Claxton, GA 30417-1658 | 2014-02-20 |
| 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 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS.
| 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.