SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS (NPI# 1457501967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457501967 |
| Entity Type | Organization |
| Organization Name | SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS |
| Practice Address |
1111 Glynco Pkwy Suite 410 Brunswick GA 31525-7921 |
| Mailing Address |
340 Eisenhower Dr Bldg. 1500 Savannah GA 31406-1600 |
| Practice Telephone | 9122620611 |
| Practice Fax Number | 9122620881 |
| Mailing Telephone | 9123546614 |
| Mailing Fax Number | 9123549075 |
| Enumeration Date | 2008-09-22 |
| Last Update Date | 2010-02-17 |
| Authorized Official Name | APRIL YOUNG (ADMINISTRATION) |
| Authorized Official Telephone | 9123546614 |
| Authorized Official Credential | ADMINISTRATION |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 173F00000X | Sleep Specialist, PhD | 036358 | GA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | GRP3039 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366064164 | Southeast Lung & Critical Care Specialists | Internal Medicine | 1745 City Circle Rd, Baxley, GA 31513-7059 | 2020-05-14 |
| 1164711818 | Southeast Lung & Critical Care Specialists | Internal Medicine | 515 E Winthrope Ave, Millen, GA 30442-1818 | 2011-04-04 |
| 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 |
| Street Address |
1111 GLYNCO PKWY SUITE 410 |
| City | BRUNSWICK |
| State | GA |
| Zip Code | 31525-7921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922089713 | Northwest Diagnostic Imaging, Inc | Radiology | 1111 Glynco Pkwy, Brunswick, GA 31525-7921 | 2005-11-08 |
| 1639562978 | Tattnall Hospital Company, LLC | Orthopaedic Surgery | 1111 Glynco Pkwy, Suite 30 - A Summit Professional Plaza I, Brunswick, GA 31525-7921 | 2015-03-11 |
| 1487047726 | Optim Orthopedics, LLC | Orthopaedic Surgery | 1111 Glynco Pkwy, Suite 30 - A Summit Professional Plaza I, Brunswick, GA 31525-7921 | 2015-03-11 |
| 1376960179 | Joseph Durant | Specialist | 1111 Glynco Pkwy, Ste. 400, Brunswick, GA 31525-7921 | 2014-03-19 |
| 1760815880 | Kendra Curry | Social Worker | 1111 Glynco Pkwy, Bldg 2, Suite 200, Brunswick, GA 31525-7921 | 2013-08-12 |
| 1144575168 | Karah Lynn Brown | Physician Assistant | 1111 Glynco Pkwy, #2-100, Brunswick, GA 31525-7921 | 2012-07-16 |
| 1659643955 | Costrini & Meadows PC | Internal Medicine | 1111 Glynco Pkwy, Suite 410, Brunswick, GA 31525-7921 | 2012-02-01 |
| 1285917401 | Micah Henderson Lancaster | Physician Assistant | 1111 Glynco Pkwy, Building 1, Suite 20, Brunswick, GA 31525-7921 | 2011-09-23 |
| 1114215498 | Florida Bracing Centers, Inc. | Prosthetic/Orthotic Supplier | 1111 Glynco Pkwy, Building 2, Suite 110, Brunswick, GA 31525-7921 | 2011-07-20 |
| 1801105275 | Dublin Vamc | Clinic/Center | 1111 Glynco Pkwy, Summit Professional Plaza, Suite 200, Brunswick, GA 31525-7921 | 2010-10-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063905990 | Jonathon Wesley Capps | Physician Assistant | 1111 Glynco Pkwy Bldg 1, Ste 10, Brunswick, GA 31525 | 2018-06-14 |
| 1366993628 | Hands Down Muscle Restoration, Inc | Homeopath | 1212 Chapel Crossing Road, Brunswick, GA 31525 | 2016-10-20 |
| 1619424173 | Jebediah S Christy Dds - Brunswick Pllc | Dentist | 11455 Canal Crossing, Brunswick, GA 31525 | 2016-09-01 |
| 1831545508 | Heller Family Medicine, LLC | General Practice | 208 Scranton Connector Ste 120, Brunswick, GA 31525 | 2016-05-11 |
| 1437525391 | Natisha Danielle Hill | Occupational Therapy Assistant | 138 Wingefield Commons Drive, Brunswick, GA 31525 | 2015-08-14 |
| 1811269632 | Solar Family Practice | Family Medicine | 122 Scranton Connector, Suite 112, Brunswick, GA 31525 | 2012-02-09 |
| 1700187895 | Chetan Patel | Pharmacist | 12 Woodfall Ct, Brunswick, GA 31525 | 2010-11-05 |
| 1194914275 | Dialysis of Golden Isles, LLC | Clinic/Center | 475 Gateway Center Blvd, Brunswick, GA 31525 | 2007-10-15 |
| 1902939325 | Gateway Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 111 Frazier Street, Brunswick, GA 31525 | 2007-03-14 |
| 1609909498 | Gateway Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 115 Frazier Road, Brunswick, GA 31525 | 2007-03-13 |
| Find all providers in zip 31525 | ||||
| Taxonomy Code | 173F00000X |
| Grouping | Other Service Providers |
| Classification | Sleep Specialist, PhD |
| Sleep medicine is a clinical specialty with a focus on clinical problems that require accurate diagnosis and treatment. The knowledge base of sleep medicine is derived from many disciplines including neuroanatomy, neurophysiology, respiratory physiology, pharmacology, psychology, psychiatry, neurology, general internal medicine, pulmonary medicine, and pediatrics as well as others. |
| Notes: Source: National Uniform Claim Committee (based on American Board of Sleep Medicine), 2007 [1/1/2008: new] Additional resources: www.absm.org |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831465400 | Specialized Sleep Diagnostic | Sleep Specialist, PhD | 29 Peachtree Cir Ne, Atlanta, GA 30309-3518 | 2012-03-28 |
| 1962788505 | The Shed, LLC | Sleep Specialist, PhD | 305 Arizona Ave Ne, Atlanta, GA 30307-2207 | 2011-10-27 |
| 1043521859 | Southest Lung & Critical Care Specialists | Sleep Specialist, PhD | 1821b Old Ocilla Road, Tifton, GA 31794 | 2010-06-25 |
| 1932438850 | Southeast Lung & Critical Care Specialists | Sleep Specialist, PhD | 16741 Fair Rd, Professional Park, G, Statesboro, GA 30458 | 2009-12-24 |
| 1093894685 | Costrini Sleep Services | Sleep Specialist, PhD | 11909 Mcauley Dr Unit A1, Savannah, GA 31419-1794 | 2006-11-03 |
| 1861400319 | D Alan Lankford | Sleep Specialist, PhD | 5505 Peachtree Dunwoody Road, Suite 380, Atlanta, GA 30342 | 2006-08-03 |
| 1750663035 | Quality Sleep Services | Sleep Specialist, PhD | 829 Plaza Ave, Eastman, GA 31023-6757 | 2011-09-13 |
| 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 |
| 1881924355 | Southeast Lung & Critical Care Specialists | Sleep Specialist, PhD | 4700 Waters Ave, Savannah, GA 31404-6220 | 2010-01-06 |
| 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.