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SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS PC NPI 1730501735


NPI Information

NPI: 1730501735
Provider Name: SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS, PC

Doing Business As: SOUTHEAST LUNG ASSOCIATES

Classification: Internal Medicine - 207RP1001X
Entity Type: Organization

Specialization: Pulmonary Disease

CLIA Number: 11D2165927

Address:
1921 WHITTLESEY RD
SUITE # 530
COLUMBUS, GA
ZIP 31904
Phone: (912) 629-2290
Get Directions

SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS, PC is a pulmonary disease internal medicine in Columbus, GA. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS, PC NPI is 1730501735. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Southeast Lung Associates.

The provider's business location address is:

1921 WHITTLESEY RD
SUITE # 530
COLUMBUS, GA
ZIP 31904-099
Phone: (912) 629-2290
Fax: (912) 629-2291

The provider's authorized official is April Young .
The authorized official title is Practice Administrator and has the following contact phone number (912) 629-0457.

The CLIA number assigned to this NPI record is 11D2165927 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 1/9/2014 and was last updated on 5/2/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RP1001XInternal MedicinePulmonary DiseaseYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1003124134CMEDICAIDGEORGIA
2003134446AMEDICAIDGEORGIA
3795377228AMEDICAIDGEORGIA
497WCJQBMEDICARE PINGEORGIA
5003126241AMEDICAIDGEORGIA
6003129391AMEDICAIDGEORGIA
7003137375AMEDICAIDGEORGIA
8202I975803MEDICARE PINGEORGIA
9202I975623MEDICARE PINGEORGIA
1029BDBXPMEDICARE PINGEORGIA
1150BBFCPMEDICARE PINGEORGIA
12000526336AMEDICAIDGEORGIA
132025036I60MEDICARE PINGEORGIA
14202I504201MEDICARE PINGEORGIA
15202I502513MEDICARE PINGEORGIA
16003129392AMEDICAIDGEORGIA
17221012519BMEDICAIDGEORGIA
18202I500568MEDICARE PINGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.