By the Sea Physician Practice LLC

Primary specialty

Psychiatric HospitalTaxonomy code 283Q00000X

Legal business name

BY THE SEA PHYSICIAN PRACTICE LLC

Doing business as

St. Simons-by-the-Sea

Practice address

2927 Demere Rd
Saint Simons Island, GA 31522-1620

Phone

(912) 638-1999

Fax

(912) 638-2112

NPI assigned

Mar 17, 2009

Last updated

Mar 17, 2009By 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

Christopher L. Howard

Title

Vice President & Secretary

Phone

(615) 312-5700

Specialties & licenses 1

Addresses

Other names 1

• St. Simons-by-the-Sea Doing business as

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

{
    "created_epoch": "1237248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237248000000",
    "number": "1386885622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6640 CAROTHERS PKWY",
            "address_2": "SUITE 500",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370676323",
            "telephone_number": "615-312-5700",
            "fax_number": "615-312-5711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2927 DEMERE RD",
            "city": "SAINT SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315221620",
            "telephone_number": "912-638-1999",
            "fax_number": "912-638-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BY THE SEA PHYSICIAN PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-17",
        "last_updated": "2009-03-17",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "VICE PRESIDENT & SECRETARY",
        "authorized_official_telephone_number": "615-312-5700"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Simons-by-the-Sea",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert Eric Bryan, MD
• Thomas Edward Bryan III, DMD
• Keely Bunkley, PHARMD
• Jill Elizabeth Burger, CCC-SLP
• Brittney Butler
• Anna Marie Cabeca, D.O.
• Ashley Neal Callicutt, PHD, LPC, NCC
• Sage LM Campione, DC
• Jeffrey Oliver Capes, D.M.D., M.D.
• Mary Jean Cardin, M.D.

• Psychiatric Hospital in St Simons Island, GA
• Providers in St Simons Island, GA by specialty
• Psychiatric Hospital in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2009; 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.