SOUTHEASTERN SURGERY & SLEEP APNEA TREATMENT CTR. LLC (NPI# 1902935281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902935281 |
| Entity Type | Organization |
| Organization Name | SOUTHEASTERN SURGERY & SLEEP APNEA TREATMENT CTR. LLC |
| Other Organization Name | DUBLIN SURGICAL ASSOCIATES AND HEART OF GEORGIA SLEEP MEDICINE |
| Practice Address |
3333 Northside Drive Suite B Macon GA 31210-2590 |
| Mailing Address |
1101-l Hillcrest Pkwy Pmb #325 Dublin GA 31021-3581 |
| Practice Telephone | 4782724544 |
| Practice Fax Number | 4782751306 |
| Mailing Telephone | 8558116362 |
| Mailing Fax Number | 4782770276 |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2015-08-06 |
| Authorized Official Name | DAWN DREW (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 4784200456 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 039475 | GA | Other Service Providers |
| Y | 208D00000X | General Practice | 039475 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000786354B | 05 | |
| GA | 000786354P | 05 |
| Other Name | Type Code |
|---|---|
| Dublin Surgical Associates and Heart of Georgia Sleep Medicine | Former Legal Business Name - Organization |
| Street Address |
3333 NORTHSIDE DRIVE SUITE B |
| City | MACON |
| State | GA |
| Zip Code | 31210-2590 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033743455 | Dana Elizabeth Toth | Nurse Practitioner | 5300 Bowman Rd, Macon, GA 31210 | 2020-02-25 |
| 1871124735 | Jessica Bello | Nurse Practitioner | 5300 Bowman Road, Macon, GA 31210 | 2020-01-30 |
| 1225505787 | Rebekah Hollinshead | Occupational Therapist | Therapy Specialists of Georgia, 4116 Arkwright Road, Macon, GA 31210 | 2018-11-01 |
| 1346744943 | Ace Medical Transport LLC. | Ambulance | 728 Gay Dr, Macon, GA 31210 | 2018-03-20 |
| 1972965226 | Omar Faruk Ahmad | Family Medicine | 3400 Riverside Drvie, Macon, GA 31210 | 2016-03-25 |
| 1083074868 | Macon Dentist Office, PC | Dentist | 206 Tom Hill Sr Blvd, Suite 106, Macon, GA 31210 | 2016-03-07 |
| 1992176952 | Kerisia Wasztyl | Marriage & Family Therapist | 4691 Pine Valley Dr, Macon, GA 31210 | 2015-10-15 |
| 1073905444 | Eunice Malave De Leon | Social Worker | 174 Spring St, Macon, GA 31210 | 2015-02-23 |
| 1396141545 | Axis Surgery Center LLC | Clinic/Center | 230 Sheraton Blvd, Ste B, Macon, GA 31210 | 2014-11-17 |
| 1073914115 | Monique Rechelle Delay Moore | Community/Behavioral Health | 646 Millrun Court, Macon, GA 31210 | 2014-09-09 |
| Find all providers in zip 31210 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316288202 | Chapin Henley | General Practice | 4522 Old Club Rd, Macon, GA 31210-4722 | 2013-03-03 |
| 1497161715 | Harriet Crockett-woods | General Practice | 777 Hemlock St, Macon, GA 31201-2102 | 2014-07-08 |
| 1730329889 | Wesley D Ulrich | General Practice | 376 Rogers Ave, Macon, GA 31204-2506 | 2009-03-03 |
| 1073723680 | Miller Family Practice, LLC. | General Practice | 1818 Forsyth Street, Suite 200, Macon, GA 31201-1636 | 2007-05-23 |
| 1154426088 | Kathy P Wilcox | General Practice | 4000 Vineville Ave, Macon, GA 31210-5038 | 2006-09-14 |
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| 1386260131 | Midnight Rose, LLC | General Practice | 6380 Bells Ferry Rd, Acworth, GA 30102-5435 | 2020-06-17 |
| 1477176394 | Optimal Choice Telehealth | General Practice | 1227 Rockbidge Rd Sw, Ste 208-354, Stone Mountain, GA 30087 | 2020-05-27 |
| 1053946004 | Proactive Medical Center | General Practice | 3455 Peachtree Industrial Blvd Ste 910, Duluth, GA 30096-6502 | 2020-03-10 |
| 1285265546 | Idea Body Institute Atlanta Asc | General Practice | 371 E Paces Ferry Rd Ne Ste 450, Atlanta, GA 30305-3292 | 2020-01-27 |
| 1730729849 | Summit Health Primary and Urgent Care LLC | General Practice | 120 Handley Rd Bldg 400 Ste #410, Tyrone, GA 30290-3029 | 2020-01-07 |
| 1770121030 | New Life Medical Centers Georgia LLC | General Practice | 3550 Lenox Rd Ne Ste 2100, Atlanta, GA 30326-1810 | 2019-12-18 |
| 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.