Southeast Lung & Critical Care Specialists

Primary specialty

Sleep Specialist (PhD)Taxonomy code 173F00000X

License

036358 Issued in GA

Legal business name

SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS

Practice address

1111 Glynco Pkwy
Suite 410
Brunswick, GA 31525-7921

Phone

(912) 262-0611

Fax

(912) 262-0881

NPI assigned

Sep 22, 2008

Last updated

Feb 17, 2010By 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

April Young, ADMINISTRATION

Title

Administration

Phone

(912) 354-6614

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Other NPIs on the same Medicare enrollment 33

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Southeast Lung & Critical Care Specialists

  • Sleep Medicine (Internal Medicine) Physician
  • Millen, GA
  • NPI 1164711818

  O20040415000176

  Same enrollment
• Southeast Lung & Critical Care Specialists

  dba Southeast Lung Associates

  • Pulmonary Disease Physician
  • Baxley, GA
  • NPI 1366064164

  O20040415000176

  Same enrollment
• Southeast Lung & Critical Care Specialists

  • Sleep Specialist (PhD)
  • Savannah, GA
  • NPI 1376793265

  O20040415000176

  Same enrollment
• Southeast Lung & Critical Care Specialists

  dba Southeast Lung Associates

  • Pulmonary Disease Physician
  • Richmond Hill, GA
  • NPI 1386914109

  O20040415000176

  Same enrollment
• Southeast Lung & Critical Care Specialists

  • Pulmonary Disease Physician
  • Sylvania, GA
  • NPI 1689998536

  O20040415000176

  Same enrollment
• Southeast Lung & Critical Care Specialists

  • Pulmonary Disease Physician
  • Savannah, GA
  • NPI 1730418062

  O20040415000176

  Same enrollment
• Southeast Lung & Critical Care Specialists

  • Pulmonary Disease Physician
  • Douglas, GA
  • NPI 1790015253

  O20040415000176

  Same enrollment
• Southeast Lung & Critical Care Specialists

  • Sleep Specialist (PhD)
  • Statesboro, GA
  • NPI 1932438850

  O20040415000176

  Same enrollment
• Southeast Lung & Critical Care Specialists P C

  dba Southeast Lung Associates

  • Pulmonary Disease Physician
  • Hinesville, GA
  • NPI 1528578028

  O20040415000176

  Same enrollment
• Southeast Lung & Critical Care Specialists, P.C.

  dba Southeast Lung Associates

  • Pulmonary Disease Physician
  • Savannah, GA
  • NPI 1023383247

  O20040415000176

  Same enrollment
• Southeast Lung & Critical Care Specialists, P.C.

  dba Southeast Lung Associates

  • Specialist
  • Savannah, GA
  • NPI 1740244276

  O20040415000176

  Same enrollment
• Southeast Lung & Critical Care Specialists, PC

  dba Southeast Lung Associates

  • Pulmonary Disease Physician
  • Savannah, GA
  • NPI 1053681155

  O20040415000176

  Same enrollment

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

{
    "created_epoch": "1222041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266364800000",
    "number": "1457501967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 EISENHOWER DR",
            "address_2": "BLDG. 1500",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314061600",
            "telephone_number": "912-354-6614",
            "fax_number": "912-354-9075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 GLYNCO PKWY",
            "address_2": "SUITE 410",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315257921",
            "telephone_number": "912-262-0611",
            "fax_number": "912-262-0881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-22",
        "last_updated": "2010-02-17",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "APRIL",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "912-354-6614",
        "authorized_official_credential": "ADMINISTRATION"
    },
    "taxonomies": [
        {
            "code": "173F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Sleep Specialist, PhD",
            "state": "GA",
            "license": "036358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southeast Georgia Health System, Inc. (Southeast Georgia Health System - Brunswick Campus)
• Southeast Georgia Health System, Inc.
• Southeast Georgia Hematology/Oncology Assoc.
• Southeast Georgia Open MRI LLC
• Southeast Georgia Urology Associates PC
• Southeast Lung & Critical Care Specialists, PC (Southeast Lung Associates)
• Southeast Second Chance, Inc
• Southeast Support Services
• Southeastern OB-GYN, P.C.
• Southeastern Pathology Associate

• Sleep Specialist (PhD) in Brunswick, GA
• Providers in Brunswick, GA by specialty
• Sleep Specialist (PhD) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2010; 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.