Active NPI
Southern Lung Specialists PC
- Pulmonary Disease Physician
- Macon, GA
National Provider Identifier
1821440819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- Legal business name
- SOUTHERN LUNG SPECIALISTS PC
- Practice address
- 770 Pine St
Suite 560
Macon, GA 31201-7569 - Phone
- (478) 745-9998
- Fax
- (478) 745-9981
- NPI assigned
- Jul 1, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gerald Tarriah
- Title
- MD
- Phone
- (478) 745-9998
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | Primary |
Addresses
Primary practice location
770 Pine St
Suite 560
Macon, GA 31201-7569
Mailing address
770 Pine St
Suite 560
Macon, GA 31201-7569
Phone (478) 745-9998
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DW7232 | Other | GA | RAILROAD MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pulmonary Disease Physician
- Macon, GA
- NPI 1851313431
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467331200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1475798400000",
"number": "1821440819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "770 PINE ST",
"address_2": "SUITE 560",
"city": "MACON",
"state": "GA",
"postal_code": "312017569",
"telephone_number": "478-745-9998",
"fax_number": "478-745-9981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "770 PINE ST",
"address_2": "SUITE 560",
"city": "MACON",
"state": "GA",
"postal_code": "312017569",
"telephone_number": "478-745-9998",
"fax_number": "478-745-9981"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHERN LUNG SPECIALISTS PC",
"organizational_subpart": "NO",
"enumeration_date": "2016-07-01",
"last_updated": "2016-10-07",
"status": "A",
"authorized_official_last_name": "TARRIAH",
"authorized_official_first_name": "GERALD",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "478-745-9998"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PTAN",
"identifier": "DW7232",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2016; 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.