SOUTHEASTERN ORTHOPEDICS
NPI 1184053043
Orthopaedic Surgery in Douglas, GA

Active since November 01, 2013CLIA 11D2062756 · Waiver
110 SHIRLEY AVENUE, DOUGLAS, GA 31533(912) 383-9789(912) 383-9435 Get Directions Write a Review

NPPES record last updated: November 1, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Southeastern Orthopedics NPPES

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

SOUTHEASTERN ORTHOPEDICS (NPI 1184053043) is a healthcare organization registered as an orthopaedic surgery in Douglas, Georgia and active in the NPI registry since November 2013. The organization holds a CLIA Waiver certificate valid through July 21, 2027 and lists James Barber, Orthopaedic Surgeon, as its authorized official.

NPPES Registry Identity

NPI1184053043
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameSOUTHEASTERN ORTHOPEDICS
Location Address110 SHIRLEY AVENUEDouglas, GA 31533
Mailing Address110 Shirley AvenueDouglas, GA 31533-2211 · (912) 383-9789 · Fax (912) 383-9435
Fax(912) 383-9435
Organization SubpartNo
Authorized OfficialJames BarberOrthopaedic Surgeon · (912) 383-9789
Enumeration DateNovember 1, 2013
NPI 1184053043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in GA · 045391
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

110 SHIRLEY AVENUE, Douglas, GA 31533

Other Identifiers 1

Medicare PINGRP4196GA

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

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
11D2062756
Facility Type
Physician Office
Certificate Effective Date
July 22, 2025
Certificate Expiration Date
July 21, 2027
Laboratory Director
DR. JAMES W. BARBER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Southeastern Orthopedics to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Orthopaedic Surgery
110 SHIRLEY AVENUE
DOUGLAS, GA 31533
Clinic/Center (Ambulatory Surgical)
110 SHIRLEY AVENUE
DOUGLAS, GA 31533
Orthopaedic Surgery
110 SHIRLEY AVENUE
DOUGLAS, GA 31533

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184053043, enumerated as an "organization" on November 01, 2013.

The provider is located at 110 SHIRLEY AVENUE DOUGLAS, GA 31533 and the phone number is (912) 383-9789.

Orthopaedic Surgery with taxonomy code 207X00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.