SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS (NPI# 1871823187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871823187 |
| Entity Type | Organization |
| Organization Name | SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS |
| Practice Address |
131 Memorial Dr Reidsville GA 30453-4641 |
| 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 | 2010-01-08 |
| Last Update Date | 2010-01-08 |
| 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 |
|---|---|---|---|---|---|
| Y | 173F00000X | Sleep Specialist, PhD | Other Service Providers |
| 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 |
| 1790015253 | Southeast Lung & Critical Care Specialists | Sleep Specialist, PhD | 200 Doctors Dr, Ste. 112, Douglas, GA 31533-2201 | 2010-01-06 |
| Street Address |
131 MEMORIAL DR |
| City | REIDSVILLE |
| State | GA |
| Zip Code | 30453-4641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861764201 | Costrini & Meadows, PC | Internal Medicine | 131 Memorial Dr, Reidsville, GA 30453-4641 | 2012-02-01 |
| 1306142070 | Southeast Lung & Critical Care Specialists | Internal Medicine | 131 Memorial Dr, Reidsville, GA 30453-4641 | 2011-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659990869 | Katrina A Toler | Specialist/Technologist, Other | Optim Medical Center - Tattnall, 247 S Main Street, Reidsville, GA 30453 | 2020-04-09 |
| 1548750110 | Benjamin Addril Clark | Pharmacist | Se Regional Pharmacy Attn: Ben Clark, 300 First Avenue South, Reidsville, GA 30453 | 2018-05-18 |
| 1770824351 | Elite Care Dme,llc | Durable Medical Equipment & Medical Supplies | 123 S. Main St., Reidsville, GA 30453 | 2013-03-07 |
| 1003154766 | Rebekah Hollis Parker | Occupational Therapist | 247 A South Main Street, Reidsville, GA 30453 | 2013-01-30 |
| 1629359419 | D. Wilson Inc. | Durable Medical Equipment & Medical Supplies | 121 South Main Street Unit A, Reidsville, GA 30453 | 2011-09-07 |
| 1417278029 | Tattnall Community Ems | Ambulance | 194 John O Parker Dr., Reidsville, GA 30453 | 2010-06-17 |
| 1518122563 | Brenda Marie Black | Licensed Practical Nurse | 150 Memorial Drive, 150 Memorial Drive, Reidsville, GA 30453 | 2008-07-18 |
| 1063694404 | Ihori Kameyama | Counselor | 150 Memorial Dr., Reidsville, GA 30453 | 2007-11-28 |
| 1710947403 | Donald Franklin Kennedy Jr. | Specialist | 131 Memorial Drive, Reidsville, GA 30453 | 2006-03-25 |
| 1801438676 | Olive Care Durable Medical & Supplies, LLC. | Durable Medical Equipment & Medical Supplies | 123 S. Main St., Reidsville, GA 30453 | 2019-10-14 |
| Find all providers in zip 30453 | ||||
| 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 |
| 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 |
| 1730418062 | Southeast Lung & Critical Care Specialists | Sleep Specialist, PhD | 225 Candler Dr, Ste. 301, Savannah, GA 31405-6023 | 2009-12-16 |
| Find all providers with the same taxonomy | ||||
| City | REIDSVILLE |
| Zip Code | 30453 |
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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.