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SOUTHEAST LUNG ASSOCIATES
NPI 1235591652
Internal Medicine - Pulmonary Disease in Pooler, GA

Active since March 24, 2016
105 GRAND CENTRAL BLVD, SUITE 108, POOLER, GA 31322(912) 629-2290 Get Directions Write a Review

NPPES record last updated: July 13, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 13, 2016, Mar 24, 2016 (2 updates tracked since 2016).

About Southeast Lung Associates NPPES

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

SOUTHEAST LUNG ASSOCIATES (NPI 1235591652) is a healthcare organization registered as a pulmonary disease in Pooler, Georgia and active in the NPI registry since March 2016. The organization lists April Young, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1235591652
Entity TypeOrganization
Primary Taxonomy207RP1001X
Legal Business NameSOUTHEAST LUNG & CRITICAL CARE SPECIALISTS, PC
Location Address105 GRAND CENTRAL BLVD, SUITE 108Pooler, GA 31322-4148
Mailing AddressPo Box 14417Savannah, GA 31416-1417
Phone(912) 629-2290
Organization SubpartNo
Authorized OfficialApril YoungPractice Administrator · (912) 721-5167
Enumeration DateMarch 24, 2016
Last NPPES UpdateJuly 13, 20162 updates tracked since enumeration
✔ NPI 1235591652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Definition
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.
105 GRAND CENTRAL BLVD, Pooler, GA 31322
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Other Names 1

Doing Business AsSoutheast Lung Associates

Other Identifiers 4

Medicare PIN11SCHRFGA
Medicare PIN202I816559
Medicare PIN29BDBXPGA
Medicare PIN202I114674GA

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 17

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

ARION IMANI BREVARD
Behavior Technician
105 GRAND CENTRAL BLVD
POOLER, GA 31322
Chatham County (912) 446-2473
CANDLER MEDICAL GROUP INC - GLENNVILLE
Family Medicine
105 GRAND CENTRAL BLVD, SUITE 107
POOLER, GA 31322
Chatham County (912) 748-1999
BETHANY MARILYN NIEVES
Behavior Technician
105 GRAND CENTRAL BLVD
POOLER, GA 31322
Chatham County (912) 244-3305
SALEM COUNSELING AND CONSULTING, LLC
Social Worker (Clinical)
105 GRAND CENTRAL BLVD, SUITE 107
POOLER, GA 31322
Chatham County (912) 308-8318
IDASHA LEE
Behavior Technician
105 GRAND CENTRAL BLVD
POOLER, GA 31322
Chatham County (912) 244-3305
KYARRAH WILLIAMS
Behavior Technician
105 GRAND CENTRAL BLVD
POOLER, GA 31322
Chatham County (912) 244-3305
DR. LEEWOOD BRAWNER STILL O.D.
Optometrist
105 GRAND CENTRAL BLVD, SUITE 110
POOLER, GA 31322
Chatham County (912) 450-9200
MRS. DYNEESHA-MARIE CLARK
Behavior Technician
105 GRAND CENTRAL BLVD
POOLER, GA 31322
Chatham County (912) 244-3305

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 Southeast Lung & Critical Care Specialists, PC's NPI number?

The NPI number for Southeast Lung & Critical Care Specialists, PC is 1235591652. It was assigned to this organization in the NPPES registry on March 24, 2016. The provider is doing business as Southeast Lung Associates.

Where is Southeast Lung & Critical Care Specialists, PC located?

Southeast Lung & Critical Care Specialists, PC is located at 105 Grand Central Blvd Suite 108, Pooler, GA 31322. The listed phone number is (912) 629-2290.

What is Southeast Lung & Critical Care Specialists, PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

When was this NPI record last updated?

The NPPES record for Southeast Lung & Critical Care Specialists, PC was last updated on July 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.