Organization Active NPI

Southeast Lung and Critical Care Specialist

  • Sleep Disorder Diagnostic Clinic/Center
  • Jesup, GA
National Provider Identifier
1629263330
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
SOUTHEAST LUNG AND CRITICAL CARE SPECIALIST
Practice address
131 Peachtree St
Jesup, GA 31545-0211
Phone
(912) 354-6614
Fax
(912) 356-9078
NPI assigned
Sep 6, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Heather W. Strickland
Title
Finanical Officer
Phone
(912) 354-6614

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X GA Primary

Addresses

Primary practice location

131 Peachtree St
Jesup, GA 31545-0211

Mailing address

340 Eisenhower Dr
BLDG. 1500
Savannah, GA 31406-1600
Phone (912) 354-6614

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1629263330",
    "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": "912-356-9078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 PEACHTREE ST",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315450211",
            "telephone_number": "912-354-6614",
            "fax_number": "912-356-9078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST LUNG AND CRITICAL CARE SPECIALIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "STRICKLAND",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "FINANICAL OFFICER",
        "authorized_official_telephone_number": "912-354-6614"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jesup, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.