South Georgia Lung Specialists,PC

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

Legal business name

SOUTH GEORGIA LUNG SPECIALISTS,PC

Practice address

1406 Habersham Dr
Waycross, GA 31501-5306

Phone

(912) 287-0333

NPI assigned

Aug 13, 2006

Last updated

Apr 7, 2015By 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

Dr. Manel Dinesh Nayak, M.D.

Title

President-Corporation

Phone

(912) 287-0333

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Linda Louise Altman, APRN-BC

  • Family Nurse Practitioner
  • Lawrenceville, GA
  • NPI 1548386972
  NPD (past)
• Victor M Gomez, M.D.

  • Pulmonary Disease Physician
  • Dallas, TX
  • NPI 1326023862
  NPD (past)

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428364800000",
    "number": "1700898871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1525",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315021525",
            "telephone_number": "912-287-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 HABERSHAM DR",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315015306",
            "telephone_number": "912-287-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH GEORGIA LUNG SPECIALISTS,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2015-04-07",
        "status": "A",
        "authorized_official_last_name": "NAYAK",
        "authorized_official_first_name": "MANEL",
        "authorized_official_middle_name": "DINESH",
        "authorized_official_title_or_position": "PRESIDENT-CORPORATION",
        "authorized_official_telephone_number": "912-287-0333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300034294A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Smith, LMSW
• Sabrina Music Smith, CCC-SLP
• Steven Austin Smith, PHARMD
• Tara D Smith, APRN,FNP-C, PMHNP-BC
• South Georgia Endoscopy Center, Inc
• South Georgia Physicians Group, LLC
• South Georgia Surgery Center
• South Georgia Surgery Center, LLC (South Georgia Surgery Center)
• Southeast Diagnostics LLC
• Southeast Georgia Anesthesia LLC

• Pulmonary Disease Physician in Waycross, GA
• Providers in Waycross, GA by specialty
• Pulmonary Disease Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2015; 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.