SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS (NPI# 1790015253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790015253 |
| Entity Type | Organization |
| Organization Name | SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS |
| Practice Address |
200 Doctors Dr Ste. 112 Douglas GA 31533-2201 |
| 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 | 2010-01-06 |
| Last Update Date | 2010-01-06 |
| Authorized Official Name | APRIL YOUNG (PRACTICE MANAGER) |
| Authorized Official Telephone | 9123546614 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 173F00000X | Sleep Specialist, PhD | 036358 | GA | Other Service Providers |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
036358 | GA | Allopathic & Osteopathic Physicians |
| 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 |
200 DOCTORS DR STE. 112 |
| City | DOUGLAS |
| State | GA |
| Zip Code | 31533-2201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750374294 | Hemachandran P Nair | Internal Medicine | 200 Doctors Dr, Suite 106, Douglas, GA 31533-2201 | 2005-08-30 |
| 1760856405 | Crh Physician Practices LLC | General Practice | 200 Doctors Dr, Suite S, Douglas, GA 31533-2201 | 2015-11-18 |
| 1063832731 | Larissa Davis | Nurse Practitioner | 200 Doctors Dr, Ste 201, Douglas, GA 31533-2201 | 2014-04-22 |
| 1417388687 | Crh Physician Practices, LLC | Psychiatry & Neurology | 200 Doctors Dr, Suite L, Douglas, GA 31533-2201 | 2013-12-12 |
| 1417396342 | Joi Livingston Rogers | Pediatrics | 200 Doctors Dr, Suite 201, Douglas, GA 31533-2201 | 2013-06-25 |
| 1477997278 | Phoebe Family Medicine,coffee County | Clinic/Center | 200 Doctors Dr, Ste 224, Douglas, GA 31533-2201 | 2013-04-23 |
| 1255682142 | Crh Physician Practices LLC | Pediatrics | 200 Doctors Dr, Ste 201, Douglas, GA 31533-2201 | 2012-10-02 |
| 1417207796 | Crh Physician Practices LLC | Urology | 200 Doctors Dr, Ste 220, Douglas, GA 31533-2201 | 2012-09-14 |
| 1427305507 | Debra Sharon Luke | Nurse Practitioner | 200 Doctors Dr, Suite 106, Douglas, GA 31533-2201 | 2012-08-08 |
| 1669745345 | South Georgia Eye Partners PC | Optometrist | 200 Doctors Dr, Suite 290, Douglas, GA 31533-2201 | 2012-02-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508470964 | Swain Drug Company LLC | Pharmacy | 855 Bowens Mill Rd Sw Suite E, Douglas, GA 31533 | 2020-09-03 |
| 1811528649 | Unison Behavioral Health | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 211 North Street, Douglas, GA 31533 | 2020-01-30 |
| 1952940793 | Teresa Smith | Pharmacist | 901 W Ward St, Douglas, GA 31533 | 2019-12-26 |
| 1447641048 | Jennifer Spivey | Nurse Practitioner | 326 Shirley Avenue, Douglas, GA 31533 | 2015-02-18 |
| 1972914497 | Jessica Lynne Courson | Nurse Practitioner | 903 West Ward Street, Suite B, Douglas, GA 31533 | 2014-05-19 |
| 1063840296 | South Central Primary Care Center | Clinic/Center | 303 Shirley Ave, Ste B, Douglas, GA 31533 | 2013-10-25 |
| 1336411008 | Unison Behavioral Health | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 118 Coweta Avenue South, Douglas, GA 31533 | 2012-01-27 |
| 1346482700 | V and V Clinic | Pediatrics | 1020 West Bryan Street, Douglas, GA 31533 | 2009-04-01 |
| 1063650406 | Jayla Snipes Bullock | Speech-Language Pathologist | 618 Bowens Mill Road Sw, Douglas, GA 31533 | 2009-01-22 |
| 1417112707 | Southern Community Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 315 S. Gaskin Ave, Douglas, GA 31533 | 2008-07-25 |
| Find all providers in zip 31533 | ||||
| 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 |
|---|---|---|---|---|
| 1417031428 | Bhavdipkumar G Patel | Internal Medicine | 1020 Ward St Ext W, Douglas, GA 31533-2204 | 2006-10-25 |
| 1467724740 | Costrini & Meadows, PC | Internal Medicine | 200 Doctors Dr, Suite 112, Douglas, GA 31533-2201 | 2012-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194337592 | Stefan Vincent Goldberg | Internal Medicine | 3239 Bolero Dr, Atlanta, GA 30341-5705 | 2020-08-18 |
| 1366064164 | Southeast Lung & Critical Care Specialists | Internal Medicine | 1745 City Circle Rd, Baxley, GA 31513-7059 | 2020-05-14 |
| 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 |
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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.