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SOUTHEASTERN INTEGRATED MEDICAL PL
NPI 1093970162
Counselor - Mental Health in Gainesville, FL

Active since July 28, 2008
4881 NW 8TH AVE, SUITE 2, GAINESVILLE, FL 32605(352) 224-2486(352) 331-6550 Get Directions Write a Review

NPPES record last updated: July 28, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Southeastern Integrated Medical Pl NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHEASTERN INTEGRATED MEDICAL PL (NPI 1093970162) is a healthcare organization registered as a mental health in Gainesville, Florida and active in the NPI registry since July 2008. The organization lists Jesse C Brannen, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1093970162
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameSOUTHEASTERN INTEGRATED MEDICAL PL
Location Address4881 NW 8TH AVE, SUITE 2Gainesville, FL 32605-4582
Mailing Address4881 Nw 8th Ave, Suite 2Gainesville, FL 32605-4582 · (352) 373-6338 · Fax (352) 373-6144
Phone(352) 224-2486
Fax(352) 331-6550
Organization SubpartYes
Authorized OfficialJesse C BrannenChief Operating Officer · (352) 224-2200
Enumeration DateJuly 28, 2008
✔ NPI 1093970162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in FL · PY6591
4881 NW 8TH AVE, Gainesville, FL 32605
Open in Google Maps ↗

Other Identifiers 2

Medicare PIN97749FL
Medicaid058586600FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BERNARD BRYAN BULCOURF PH.D.
Psychologist
4881 NW 8TH AVE, SUITE 2
GAINESVILLE, FL 32605
Alachua County (352) 224-2486
MS. KATHLEEN ANN MCKEE RCSWI
Social Worker
4881 NW 8TH AVE
GAINESVILLE, FL 32605
Alachua County (352) 474-8882
GAINESVILLE UROLOGY CENTER PA
Urology
4881 NW 8TH AVE, SUITE 2
GAINESVILLE, FL 32605
Alachua County (352) 373-6338
MR. JESSE AUGUST LIPNICK MD
Pain Medicine (Interventional Pain Medicine)
4881 NW 8TH AVE, SUITE 2
GAINESVILLE, FL 32605
Alachua County (352) 373-6338
JOHN ANTHONY BAILEY M.D.
Anesthesiology (Pain Medicine)
4881 NW 8TH AVE, STE 2
GAINESVILLE, FL 32605
Alachua County (352) 547-2373

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southeastern Integrated Medical Pl's NPI number?

The NPI number for Southeastern Integrated Medical Pl is 1093970162. It was assigned to this organization in the NPPES registry on July 28, 2008.

Where is Southeastern Integrated Medical Pl located?

Southeastern Integrated Medical Pl is located at 4881 NW 8th Ave Suite 2, Gainesville, FL 32605. The listed phone number is (352) 224-2486.

What is Southeastern Integrated Medical Pl's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Southeastern Integrated Medical Pl was last updated on July 28, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.