SOUTHEAST LUNG AND CRITICAL CARE SPECIALIST (NPI# 1629263330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629263330 |
| Entity Type | Organization |
| Organization Name | SOUTHEAST LUNG AND CRITICAL CARE SPECIALIST |
| Practice Address |
131 Peachtree St Jesup GA 31545-0211 |
| 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 | 2007-09-06 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | HEATHER W. STRICKLAND (FINANICAL OFFICER) |
| Authorized Official Telephone | 9123546614 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1200X |
Clinic/Center Specialization: Sleep Disorder Diagnostic |
========= | GA | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447445150 | Southeast Lung and Critical Care Specialist | Clinic/Center | 400 Lister St, Waycross, GA 31501-5226 | 2007-09-06 |
| 1871787069 | Southeast Lung and Critical Care Specialist | Clinic/Center | 405 E Long St, Claxton, GA 30417-1443 | 2007-08-30 |
| Street Address |
131 PEACHTREE ST |
| City | JESUP |
| State | GA |
| Zip Code | 31545-0211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851515696 | Lung Associates, PC | Internal Medicine | 131 Peachtree St, Jesup, GA 31545-0211 | 2007-04-12 |
| 1447522743 | Costrini & Meadows, PC | Internal Medicine | 131 Peachtree St, Jesup, GA 31545-0211 | 2012-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154922441 | Southern Pharmacy Group LLC | Pharmacy | 110 Allison St., Jesup, GA 31545 | 2020-11-04 |
| 1093350118 | Joseph Hires | Physical Therapist | 1064 N Macon St, Jesup, GA 31545 | 2019-11-13 |
| 1952866279 | Scott's Transportation of Georgia, LLC | Non-emergency Medical Transport (VAN) | 3670 Waycross Hwy, Jesup, GA 31545 | 2019-02-01 |
| 1386035335 | Shane's Crib | Substance Abuse Rehabilitation Facility | 1303 South 1st Street, Jesup, GA 31545 | 2015-02-12 |
| 1770839607 | Sandra L. Mager, M.d.p.c. | Obstetrics & Gynecology | 114 W. Cherry Street, Jesup, GA 31545 | 2012-07-30 |
| 1427318617 | Crandall Eye Physicians and Surgeons LLC | Ophthalmology | 136 W. Cherry St., Jesup, GA 31545 | 2012-05-21 |
| 1356615934 | Andrea Brooke Meeks | Assistant Behavior Analyst | 1316 W Orange St, Jesup, GA 31545 | 2012-02-29 |
| 1932419736 | Wilma R Cote | Nurse Practitioner | 391 South First St., Jesup, GA 31545 | 2010-10-14 |
| 1205144425 | Air Evac Ems Inc | Ambulance | 148 Peach Tree Street, Jesup, GA 31545 | 2010-09-22 |
| 1881911451 | Surgery Center of Bji, LLC | Clinic/Center | 112 Professional Court, Jesup, GA 31545 | 2010-04-22 |
| Find all providers in zip 31545 | ||||
| Taxonomy Code | 261QS1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Sleep Disorder Diagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306118658 | Reliance Sleep Centers of America, Pa | Clinic/Center | 761 E Cherry St, Jesup, GA 31546-5168 | 2012-02-02 |
| 1104193481 | A Home Sleep Testing | Clinic/Center | 1081 280th St, 7, Jesup, IA 50648-9252 | 2011-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386259570 | Tusonah Ann Birmingham | Clinic/Center | 7297 Walton Hl, Fairburn, GA 30213-7110 | 2020-09-14 |
| 1336623834 | Proact LLC | Clinic/Center | 6160 Peachtree Dunwoody Rd Ste A103, Sandy Springs, GA 30328-4578 | 2018-09-20 |
| 1003396359 | Nations Sleep Disorder Centers LLC of Gerogia | Clinic/Center | 1202 Hillcrest Pkwy Ste A, Dublin, GA 31021-3053 | 2018-08-16 |
| 1669952917 | Nations Sleep Disorder Centers LLC of Middle Georgia | Clinic/Center | 524 S Houston Lake Rd Ste E200, Warner Robins, GA 31088-9057 | 2018-08-16 |
| 1306358668 | Rss Gary Nelson LLC | Clinic/Center | 11912 Jones Bridge Rd Ste B, Alpharetta, GA 30005-4613 | 2017-10-26 |
| 1306356035 | Tanner Medical Center, Inc | Clinic/Center | 100 Professional Pl Ste 307, Carrollton, GA 30117-3872 | 2017-10-09 |
| 1730626219 | Somnacare LLC | Clinic/Center | 1954 Airport Rd Ste 222, Chamblee, GA 30341-4936 | 2017-01-23 |
| 1225493869 | Usa Sleep Dianostic Mobile Service LLC | Clinic/Center | 233 12th St Ste 910b, Columbus, GA 31901-2462 | 2015-12-28 |
| 1285003350 | Georgia Neurodiagnostics, LLC | Clinic/Center | 3295 River Exchange Dr Ste 561-133, Norcross, GA 30092-4241 | 2015-09-18 |
| 1669812574 | Paladin Sleep Services LLC | Clinic/Center | 167 Highland Park Cir, Brunswick, GA 31523-1161 | 2013-06-25 |
| 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.