Southeast Lung & Critical Care Specialists, PC

Primary specialty

Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X

Legal business name

SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS, PC

Doing business as

Southeast Lung Associates

Practice address

201 N River St
Claxton, GA 30417-1658

Phone

(912) 819-5757

Fax

(912) 819-5753

NPI assigned

Feb 20, 2014

Last updated

Feb 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

Heather Williams

Title

Cfo

Phone

(912) 927-6270

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• Southeast Lung Associates Doing business as

Member of 1

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

• Southeast Lung & Critical Care Specialists

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

  Member Of

  NPD member

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

{
    "created_epoch": "1392854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392854400000",
    "number": "1457776916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 HODGSON CT",
            "address_2": "SUITE #2",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314061520",
            "telephone_number": "912-629-2290",
            "fax_number": "912-629-2291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N RIVER ST",
            "city": "CLAXTON",
            "state": "GA",
            "postal_code": "304171658",
            "telephone_number": "912-819-5757",
            "fax_number": "912-819-5753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-20",
        "last_updated": "2014-02-20",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "912-927-6270"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "487007710A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000148519L",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000914922A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000788818L",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000526336A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "696088793A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southeast Lung Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lutrenda Renelus
• Lafils Ann Rivers
• Jesse B Scott, MD
• Ronald Douglas Smith, RPH
• Crystal Sorg
• Southeast Lung and Critical Care Specialist (Southeast Lung Associates)
• Southern Medical Group
• Southland Evans Emergency Medical Services LLC
• Southland Evans Hospitalist Group LLC
• Radonna Rae Stevenson-Pirkle, PA-C

• Sleep Medicine (Internal Medicine) Physician in Claxton, GA
• Providers in Claxton, GA by specialty
• Sleep Medicine (Internal Medicine) Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2014; 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.