NPIMap

Organization Active NPI

Southeast Lung & Critical Care Specialists, P.C.

Doing business as Southeast Lung Associates

  • Specialist
  • Savannah, GA
National Provider Identifier
1740244276
Registry record updated Nov 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
032635 Issued in GA
Legal business name
SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS, P.C.
Doing business as
Southeast Lung Associates
Practice address
340 Hodgson CT
Suite #2
Savannah, GA 31406-1520
Phone
(912) 629-2290
Fax
(912) 629-2291
NPI assigned
Apr 13, 2006
Last updated
Nov 10, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2021

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

Authorized official

Name
Dr. James A Daly, MDNPI 1003884669
Title
Ceo
Phone
(912) 629-2290

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 032635 GA Primary

Addresses

Primary practice location

340 Hodgson CT
Suite #2
Savannah, GA 31406-1520

Mailing address

PO Box 14417
Savannah, GA 31416-1417
Phone (912) 629-2290

Other identifiers 2

IdentifierTypeStateIssuer
CI9902OtherSCRAILROAD MEDICARE
CI7230OtherGARAILROAD MEDICARE

Other names 1

  • Southeast Lung Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040415000176 GA Part B Supplier - Clinic/Group Practice 7618962291 Receives reassigned benefits from 29 practitioners
33 other NPIs on this enrollment
Practice locations: Jesup, GA; Vidalia, GA; Tybee Island, GA; Sylvania, GA; Springfield, GA; Savannah, GA; Hinesville, GA; Brunswick, GA…
O20040706000490 SC Part B Supplier - Clinic/Group Practice 7618962291 Receives reassigned benefits from 14 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bluffton, SC; Hilton Head Island, SC; Hilton Head, SC; Hardeeville, SC

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 35

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

View all 35

National Provider Directory

National Provider Directory

Locations

200 Doctors Dr
Ste O
Douglas, GA 31533
Phone (912) 383-5655

400 Cedar St
Ste 106
Metter, GA 30439

60 Exchange St
Richmond Hill, GA 31324
Phone (912) 412-4267

11909 McAuley Dr
Ste 1
Savannah, GA 31419

11909 McAuley Dr
Ste A
Savannah, GA 31419
Phone (912) 819-2237

225 Candler Dr
Ste 201
Savannah, GA 31405
Phone (912) 692-2000

340 Hodgson Ct
Ste 3
Savannah, GA 31406
Phone (912) 352-9049

5353 Reynolds St
Fl 16
Savannah, GA 31405

5353 Reynolds St
Fl 4
Savannah, GA 31405

5353 Reynolds St
Ste 4
Savannah, GA 31405

459 GA Highway 119 S
Ste 106
Springfield, GA 31329

1006 Mount Vernon Rd
Vidalia, GA 30474
Phone (912) 537-1221

12 Arley Way
Ste 101
Bluffton, SC 29910
Phone (843) 706-9940

Practitioners & affiliated clinicians

Practitioners 38

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.

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636502400000",
    "number": "1740244276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14417",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314161417",
            "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": "340 HODGSON CT",
            "address_2": "SUITE #2",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314061520",
            "telephone_number": "912-629-2290",
            "fax_number": "912-629-2291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-13",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A",
        "authorized_official_last_name": "DALY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "912-629-2290",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "032635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CI9902",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CI7230",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southeast Lung Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Southeast Lung Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; 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.