NPIMap

Organization Active NPI

Lung Associates, PC

  • Internal Medicine Physician
  • Brunswick, GA
National Provider Identifier
1104904135
Registry record updated Mar 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
LUNG ASSOCIATES, PC
Practice address
3222 Shrine Rd
Suite B
Brunswick, GA 31520-4325
Phone
(912) 267-7607
Fax
(912) 261-2800
NPI assigned
Nov 1, 2006
Last updated
Mar 31, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2008

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

Authorized official

Name
Kaycee Nichole Price
Title
Office Manager
Phone
(912) 267-7607

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0200X
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X

Addresses

Primary practice location

3222 Shrine Rd
Suite B
Brunswick, GA 31520-4325

Mailing address

3222 Shrine Rd
Suite B
Brunswick, GA 31520-4325
Phone (912) 267-7607

Other identifiers 1

IdentifierTypeStateIssuer
CK8179OtherGARAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

3222 Shrine Rd
Brunswick, GA 31520
Phone (912) 264-5961

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1104904135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3222 SHRINE RD",
            "address_2": "SUITE B",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204325",
            "telephone_number": "912-267-7607",
            "fax_number": "912-261-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3222 SHRINE RD",
            "address_2": "SUITE B",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204325",
            "telephone_number": "912-267-7607",
            "fax_number": "912-261-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUNG ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "KAYCEE",
        "authorized_official_middle_name": "NICHOLE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "912-267-7607"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CK8179",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.