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SOUTHEASTERN ORTHOPEDICS
NPI 1184053043
Orthopaedic Surgery in Douglas, GA

Active since November 01, 2013CLIA Certified · 2 labs
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: August 09, 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 2 active CLIA laboratory certificates 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
Phone(912) 383-9789
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
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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 Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2076546

Southeastern Orthopaedics Surgery Center · Douglas, GA
Active · expires Apr 21, 2028
CLIA Number11D2076546
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateApril 22, 2026
Certificate Expiration DateApril 21, 2028
Laboratory DirectorDr. James Barber
Laboratory Phone(912) 383-9789
Laboratory LocationSoutheastern Orthopaedics Surgery Center110 Shirley Avenue, Douglas, GA 31533
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D2062756

Southeastern Orthopaedics · Douglas, GA
Active · expires Jul 21, 2027
CLIA Number11D2062756
Laboratory TypePhysician Office
Certificate Effective DateJuly 22, 2025
Certificate Expiration DateJuly 21, 2027
Laboratory DirectorDr. James W. Barber
Laboratory Phone(912) 383-9789
Laboratory LocationSoutheastern Orthopaedics110 Shirley Avenue, Douglas, GA 31533
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

SOUTHEASTERN ORTHOPEDICS
Orthopaedic Surgery
110 SHIRLEY AVENUE
DOUGLAS, GA 31533
Coffee County (912) 383-9789
SOUTHEASTERN ORTHOPAEDICS SURGERY CENTER
Clinic/Center (Ambulatory Surgical)
110 SHIRLEY AVENUE
DOUGLAS, GA 31533
Coffee County (912) 383-9789
DR. JAMES WILLIAM BARBER MD
Orthopaedic Surgery
110 SHIRLEY AVENUE
DOUGLAS, GA 31533
Coffee County (912) 383-9789

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 Orthopedics's NPI number?

The NPI number for Southeastern Orthopedics is 1184053043. It was assigned to this organization in the NPPES registry on November 1, 2013.

Where is Southeastern Orthopedics located?

Southeastern Orthopedics is located at 110 Shirley Avenue, Douglas, GA 31533. The listed phone number is (912) 383-9789.

What is Southeastern Orthopedics's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Does Southeastern Orthopedics hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Southeastern Orthopedics was last updated on November 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.