Southeastern Pathology Associates at Wayne Memorial Inc

Primary specialty

Anatomic Pathology PhysicianTaxonomy code 207ZP0101X

Legal business name

SOUTHEASTERN PATHOLOGY ASSOCIATES AT WAYNE MEMORIAL INC

Practice address

865 S 1St St
Jesup, GA 31545-0210

Phone

(912) 261-2669

Fax

(912) 261-0561

NPI assigned

Aug 22, 2006

Last updated

May 21, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Patrick E Godbey, M.D.NPI 1619951332

Title

President

Phone

(912) 261-2669

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Patrick E Godbey, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Brunswick, GA
  • NPI 1619951332
  Authorized official Same address or phone
• Mark G Hanly, MBCHB, FRCPATHLOND

  • Anatomic Pathology & Clinical Pathology Physician
  • Brunswick, GA
  • NPI 1619951258
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1043326861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30309",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294170309",
            "telephone_number": "843-554-9300",
            "fax_number": "843-566-8780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 S 1ST ST",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315450210",
            "telephone_number": "912-261-2669",
            "fax_number": "912-261-0561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN PATHOLOGY ASSOCIATES AT WAYNE MEMORIAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "GODBEY",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "912-261-2669",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSGA WAYNE",
            "identifier": "04833",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southeast Lung & Critical Care Specialists, PC (Southeast Lung Associates)
• Southeast Lung & Critical Care Specialists, PC (Southeast Lung Associates)
• Southeast Lung & Critical Care Specialists, PC (Southeast Lung Associates)
• Southeast Lung & Critical Care Specialists,P.C. (Southeast Lung Associates)
• Southeast Lung and Critical Care Specialist
• Southern Family Medicine, LLC
• Southern Medical of Jesup LLC
• Southern Pharmacy Group LLC
• Southwest Surgical Associates, P.C.
• Southwest Surgical Associates, P.C.

• Anatomic Pathology Physician in Jesup, GA
• Providers in Jesup, GA by specialty
• Anatomic Pathology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.