SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS, PC (NPI# 1396167557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396167557 |
| Entity Type | Organization |
| Organization Name | SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS, PC |
| Other Organization Name | SOUTHEAST LUNG ASSOCIATES |
| Practice Address |
105 E Tollison St # A Baxley GA 31513-0149 |
| Mailing Address |
Po Box 14417 Savannah GA 31416-1417 |
| Practice Telephone | 9129276270 |
| Practice Fax Number | 9129276254 |
| Mailing Telephone | 9129276270 |
| Mailing Fax Number | 9129276254 |
| Enumeration Date | 2014-01-07 |
| Last Update Date | 2014-05-02 |
| Authorized Official Name | APRIL YOUNG (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 9126290457 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003126241A | 05 | |
| GA | 003129391A | 05 | |
| GA | 003124134C | 05 | |
| GA | 003137375A | 05 | |
| GA | 221012519B | 05 | |
| GA | 003129392A | 05 | |
| GA | 003134446A | 05 | |
| GA | 000788818L | 05 | |
| GA | 795377228A | 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 |
| 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 |
| 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 |
| Street Address |
105 E TOLLISON ST # A |
| City | BAXLEY |
| State | GA |
| Zip Code | 31513-0149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720227895 | The Baxley and Appling County Hospital Authority | Clinic/Center | 105 E Tollison St, Suite D, Baxley, GA 31513-0149 | 2009-02-13 |
| 1811302029 | Rachel Lee Peterson | Nurse Practitioner | 105 E Tollison St, Baxley, GA 31513-0149 | 2014-06-25 |
| 1679855134 | Melanie S Young | Nurse Practitioner | 105 E Tollison St, Suite D, Baxley, GA 31513-0149 | 2011-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033723515 | Sarah Chapman Swinson | Pharmacist | 160 Azalea Rd, Baxley, GA 31513 | 2020-09-02 |
| 1225642705 | Briana Baxley Aycock | Pharmacist | 160 Azalea Road, Baxley, GA 31513 | 2020-09-02 |
| 1114493988 | Telehealth Resources, LLC | Family Medicine | 77 North Main Street, Suite B, Baxley, GA 31513 | 2018-10-19 |
| 1588155386 | Jessica Jade Stone Lamb | Counselor | 7092 Nails Ferry Rd, Baxley, GA 31513 | 2018-05-29 |
| 1942701248 | The Baxley Appling County Hospital Authority | Family Medicine | 40 Wildes Street, Surrencey, GA 31513 | 2018-02-22 |
| 1023530953 | Dental Center of Baxley | Dentist | 51 Walnut Street, Baxley, GA 31513 | 2017-07-12 |
| 1083024608 | Mctwynn, Inc | Assisted Living Facility | 111 Stephens Ave, Baxley, GA 31513 | 2014-05-05 |
| 1801239389 | East Georgia Healthcare Center Inc | Clinic/Center | 1636 Hatch Parkway South, Baxley, GA 31513 | 2013-04-15 |
| 1093057101 | Bryan Lanier Holmes Sr. | Counselor | 185 Middlewood Dr., Baxley, GA 31513 | 2013-03-27 |
| 1821378076 | Doctors of Compassionate Services | Family Medicine | 277 Lackawanna St, Baxley, GA 31513 | 2011-08-19 |
| Find all providers in zip 31513 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366064164 | Southeast Lung & Critical Care Specialists | Internal Medicine | 1745 City Circle Rd, Baxley, GA 31513-7059 | 2020-05-14 |
| 1275189086 | Southeast Lung & Critical Care Specialists, PC. | Internal Medicine | 654 S Main St, Baxley, GA 31513-0124 | 2019-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194337592 | Stefan Vincent Goldberg | Internal Medicine | 3239 Bolero Dr, Atlanta, GA 30341-5705 | 2020-08-18 |
| 1205474954 | Tift Regional Health System, Inc | Internal Medicine | 1499 Kennedy Road, Suite A, Tifton, GA 31794-4177 | 2019-12-12 |
| 1659845790 | Frank J Demarco Jr Md LLC | Internal Medicine | 4465 Nelson Brogdon Blvd, Buford, GA 30518-3487 | 2019-01-11 |
| 1063915338 | Trident Pulmonary and Critical Care PC | Internal Medicine | 483 Upper Riverdale Rd Sw Ste E, Riverdale, GA 30274-2579 | 2018-03-13 |
| 1194235853 | Covenant Medical Group LLC | Internal Medicine | 3605 Sandy Plains Rd Ste 240-235, Marietta, GA 30066-3068 | 2017-10-09 |
| 1235659814 | Southeast Lung & Criticial Care Specialists, PC | Internal Medicine | 5356 Reynolds St Ste 303, Savannah, GA 31405-6018 | 2017-06-23 |
| 1619355427 | Southeast Lung & Critical Care Specialists, PC. | Internal Medicine | 400 Cedar St Ste 106, Candler County Hospital, Metter, GA 30439-3338 | 2015-05-13 |
| 1770989154 | Southeast Lung & Critical Care Specialists, PC | Internal Medicine | 800 East 68th Street, Landmark Hospital, Savannah, GA 31405 | 2014-11-12 |
| 1407267511 | Akshay Bhatnagar | Internal Medicine | 2301 Newnan Crossing Blvd E Ste 200, Newnan, GA 30265-2576 | 2014-05-12 |
| 1912327263 | Middle Georgia Pulmonary, LLC | Internal Medicine | 2024 Watson Blvd, Bldg# 1, Warner Robins, GA 31093-3624 | 2014-04-24 |
| 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.