Andrew V Cichelli MD Inc

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

Legal business name

ANDREW V CICHELLI MD INC

Practice address

1601 Fair Rd
Suite 600
Statesboro, GA 30458-1698

Phone

(912) 681-4911

Fax

(912) 681-6911

NPI assigned

Apr 9, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Joanne D Sabb

Title

Billing Secretary

Phone

(912) 681-4911

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• EAST GEORGIA PULMONARY & SLEEP DISORDER Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207785600000",
    "number": "1225201494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 FAIR RD",
            "address_2": "SUITE 600",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304581698",
            "telephone_number": "912-681-4911",
            "fax_number": "912-681-6911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 FAIR RD",
            "address_2": "SUITE 600",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304581698",
            "telephone_number": "912-681-4911",
            "fax_number": "912-681-6911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW V CICHELLI MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-09",
        "last_updated": "2008-04-10",
        "status": "A",
        "authorized_official_last_name": "SABB",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "BILLING SECRETARY",
        "authorized_official_telephone_number": "912-681-4911",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1225201494",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EAST GEORGIA PULMONARY & SLEEP DISORDER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lauren Taylor Anderson, CPHT
• Mae F Anderson, WHNP
• Mark Anderson, NP-C
• Vermecia Jelic Anderson
• Teresa A. Andres, M.ED, LPC
• Elizabeth Jane Andrews, LAT, ATC
• Misty L Andrews, LPC
• Emily A Andrychowski, MT
• Sarah Anklam
• Ankle and Foot Assoc, LLC

• Pulmonary Disease Physician in Statesboro, GA
• Providers in Statesboro, GA by specialty
• Pulmonary Disease Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.