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SOUTHEAST GEORGIA HEALTH SYSTEM ENT SURGICAL CENTER
NPI 1336163096
Clinic/Center - Ambulatory Surgical in Brunswick, GA

Active since July 27, 2006CLIA 11D1094211 · Microscopy
2916 GLYNN AVE, BRUNSWICK, GA 31520(912) 265-2573(912) 262-0795 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southeast Georgia Health System Ent Surgical Center NPPES

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

SOUTHEAST GEORGIA HEALTH SYSTEM ENT SURGICAL CENTER (NPI 1336163096) is a healthcare organization registered as an ambulatory surgical in Brunswick, Georgia and active in the NPI registry since July 2006. The organization holds a CLIA Microscopy certificate valid through January 13, 2027 and lists Michael David Scherneck, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1336163096
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameCOOPERATIVE HEALTHCARE SERVICES, INC.
Location Address2916 GLYNN AVEBrunswick, GA 31520-4844
Mailing Address2415 Parkwood DrBrunswick, GA 31520-4722 · (912) 466-7000 · Fax (712) 466-5091
Phone(912) 265-2573
Fax(912) 262-0795
Organization SubpartNo
Authorized OfficialMichael David ScherneckPresident & Ceo · (912) 466-7049
Enumeration DateJuly 27, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1336163096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in GA · 063-316
2916 GLYNN AVE, Brunswick, GA 31520
Open in Google Maps ↗

Other Names 1

Doing Business AsSoutheast Georgia Health System Ent Surgical Center

CLIA Laboratory Certificates CMS CLIA

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 for Provider-Performed Microscopy Procedures (PPMP) 11D1094211

Cooperative Healthcare Services Incorporated Dba Glynn Family Medicine Center · Brunswick, GA
Active · expires Jan 13, 2027
CLIA Number11D1094211
Laboratory TypePhysician Office
Certificate Effective DateJanuary 14, 2025
Certificate Expiration DateJanuary 13, 2027
Laboratory DirectorJohn M. Blumer MD
Laboratory Phone(912) 264-6303
Laboratory LocationCooperative Healthcare Services Incorporated Dba Glynn Family Medicine Center3222 A Shrine Road, Brunswick, GA 31520
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 4

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

ELIZABETH K WATSON NP
Nurse Practitioner (Family)
2916 GLYNN AVE
BRUNSWICK, GA 31520
Glynn County (912) 466-5850
FRIEDRICH MEDICAL CENTER P.C.
Specialist
2916 GLYNN AVE
BRUNSWICK, GA 31520
Glynn County (912) 264-9650
JELISA CARROLL
Family Medicine
2916 GLYNN AVE
BRUNSWICK, GA 31520
Glynn County (912) 466-5850
PAMELA MESOWSKI HINSON FNP-C
Nurse Practitioner (Family)
2916 GLYNN AVE
BRUNSWICK, GA 31520
Glynn County (912) 466-5850

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 Cooperative Healthcare Services, Inc.'s NPI number?

The NPI number for Cooperative Healthcare Services, Inc. is 1336163096. It was assigned to this organization in the NPPES registry on July 27, 2006. The provider is doing business as Southeast Georgia Health System Ent Surgical Center.

Where is Cooperative Healthcare Services, Inc. located?

Cooperative Healthcare Services, Inc. is located at 2916 Glynn Ave, Brunswick, GA 31520. The listed phone number is (912) 265-2573.

What is Cooperative Healthcare Services, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Cooperative Healthcare Services, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 11D1094211) is associated with this NPI, valid through January 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Cooperative Healthcare Services, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.