NPIMap

Organization Active NPI

Southeast Treatment Center LLC

  • Ambulatory Surgical Clinic/Center
  • Kingsland, GA
National Provider Identifier
1275718405
Registry record updated Apr 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
SOUTHEAST TREATMENT CENTER LLC
Practice address
88 Lindsey LN
Ste C
Kingsland, GA 31548-6857
Phone
(912) 673-7074
Fax
(912) 673-6896
NPI assigned
Jan 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2013

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

Authorized official

Name
Dr. Robert Earl Windsor Jr., MD
Title
Ceo/Owner
Phone
(770) 850-8464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

88 Lindsey LN
Ste C
Kingsland, GA 31548-6857

Mailing address

88 Lindsey LN
Ste C
Kingsland, GA 31548-6857
Phone (912) 673-7074

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

88 Lindsey Ln
Ste C
Saint Marys, GA 31558
Phone (912) 322-5791

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365120000000",
    "number": "1275718405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 LINDSEY LN",
            "address_2": "STE C",
            "city": "KINGSLAND",
            "state": "GA",
            "postal_code": "315486857",
            "telephone_number": "912-673-7074",
            "fax_number": "912-673-6896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 LINDSEY LN",
            "address_2": "STE C",
            "city": "KINGSLAND",
            "state": "GA",
            "postal_code": "315486857",
            "telephone_number": "912-673-7074",
            "fax_number": "912-673-6896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST TREATMENT CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-07",
        "last_updated": "2013-04-05",
        "status": "A",
        "authorized_official_last_name": "WINDSOR",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "770-850-8464",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsland, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2013; 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.