Southeastern Orthopedics

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

SOUTHEASTERN ORTHOPEDICS

Practice address

110 Shirley Avenue
Douglas, GA 31533

Phone

(912) 383-9789

Fax

(912) 383-9435

NPI assigned

Sep 11, 2006

Last updated

Nov 20, 2014By 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

Mr. James William Barber, MDNPI 1932198686

Title

Owner/Orthopedic Surgeon

Phone

(912) 383-9789

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA2 enrollments

Enrollment records 2

Locations

Practitioners 3

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.

• James William Barber, MD

  • Orthopaedic Surgery Physician
  • Douglas, GA
  • NPI 1932198686
  Medicare reassignment NPD Authorized official
• Logan Charles McCool

  • Physical Medicine & Rehabilitation Physician
  • Clive, IA
  • NPI 1396122370

  GA

  Medicare reassignment NPD
• Joel Hernandez, PA-C

  • Surgical Physician Assistant
  • Douglas, GA
  • NPI 1902202468
  Medicare reassignment

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416441600000",
    "number": "1265536437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 SHIRLEY AVENUE",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "31533",
            "telephone_number": "912-383-9789",
            "fax_number": "912-383-9435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 SHIRLEY AVENUE",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "31533",
            "telephone_number": "912-383-9789",
            "fax_number": "912-383-9435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN ORTHOPEDICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-11",
        "last_updated": "2014-11-20",
        "status": "A",
        "authorized_official_last_name": "BARBER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER/ORTHOPEDIC SURGEON",
        "authorized_official_telephone_number": "912-383-9789",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southeast Lung & Critical Care Specialists
• Southeastern Home Health Inc (Rotech)
• Southeastern Neuromuscular Massage Therapy, Inc.
• Southeastern Orthopaedics Surgery Center
• Southeastern Orthopedics
• Southern Chiropractic of Douglas, Inc. (Southern Chiropractic of Douglas)
• Southern Coastal Premier Chiropractic PC
• Southern Community Services Inc
• Southern Gastroenterology& Hepatology Consultants Inc
• Southern Senior Living

• Orthopaedic Surgery Physician in Douglas, GA
• Providers in Douglas, GA by specialty
• Orthopaedic Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.