Southeast Georgia Therapy LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SOUTHEAST GEORGIA THERAPY LLC

Practice address

413 Brewster LN
Saint Simons Island, GA 31522-2271

Phone

(912) 230-8648

NPI assigned

Nov 21, 2022

Organization subpart

No

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

Authorized official

Name

Anne Watkins, LCSWNPI 1235783309

Title

President

Phone

(912) 230-8648

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anne Meade Watkins

  • Clinical Social Worker
  • Saint Simons Island, GA
  • NPI 1235783309
  NPD Authorized official

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

{
    "created_epoch": "1668988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668988800000",
    "number": "1225747181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 BREWSTER LN",
            "city": "SAINT SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315222271",
            "telephone_number": "912-230-8648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 BREWSTER LN",
            "city": "SAINT SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315222271",
            "telephone_number": "912-230-8648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST GEORGIA THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-21",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-19",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "912-230-8648",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William F Shivers Jr., M.D.
• John Franklin Sisley III, M.D.
• Laura Paige Slack, MD
• Amauri Smith, PT, DPT
• James Stratton Snow Jr., D.O.
• Southeastern Health Services, Inc.
• Southern Crescent Surgical Assisting P C
• Southern Spine and Rehab, LLC
• Spencer Spine Specialists LLC
• Ashleigh Dehnea Spencer, D.C.

• Clinical Social Worker in Saint Simons Island, GA
• Providers in Saint Simons Island, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; 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.