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SOUTHEASTERN OB/GYN CENTER LLC
NPI 1346534831
Obstetrics & Gynecology in Savannah, GA

Active since June 02, 2011CLIA 11D2028834 · Microscopy
5311 PAULSEN ST, SAVANNAH, GA 31405(912) 355-1111(912) 352-7136 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Southeastern Ob/gyn Center Llc NPPES

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

SOUTHEASTERN OB/GYN CENTER LLC (NPI 1346534831) is a healthcare organization registered as an obstetrics & gynecology in Savannah, Georgia and active in the NPI registry since June 2011. The organization holds a CLIA Microscopy certificate valid through August 24, 2027 and lists Michael J Jackson, Owner, as its authorized official.

NPPES Registry Identity

NPI1346534831
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameSOUTHEASTERN OB/GYN CENTER LLC
Location Address5311 PAULSEN STSavannah, GA 31405-4800
Mailing Address5311 Paulsen StSavannah, GA 31405-4800 · (912) 355-1111 · Fax (912) 352-7136
Phone(912) 355-1111
Fax(912) 352-7136
Organization SubpartNo
Authorized OfficialMichael J JacksonOwner · (912) 355-1111
Enumeration DateJune 2, 2011
Last NPPES UpdateMarch 7, 2023
✔ NPI 1346534831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in GA · 038019
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
5311 PAULSEN ST, Savannah, GA 31405
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Other Identifiers 2

Medicaid00729473AGA
Other038019GA · License

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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) 11D2028834

Southeastern Ob/Gyn Center, LLC · Savannah, GA
Active · expires Aug 24, 2027
CLIA Number11D2028834
Laboratory TypePhysician Office
Certificate Effective DateAugust 25, 2025
Certificate Expiration DateAugust 24, 2027
Laboratory DirectorMichael J. Jackson
Laboratory Phone(912) 355-1111
Laboratory LocationSoutheastern Ob/Gyn Center, LLC5311 Paulsen Street, Savannah, GA 31405
CLIA data matches this NPI record on: Address Name Phone
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 2

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

DR. MICHAEL JOSEPH JACKSON MD
Obstetrics & Gynecology
5311 PAULSEN ST
SAVANNAH, GA 31405
Chatham County (912) 355-1111
OBGYN CENTER PC
Obstetrics & Gynecology
5311 PAULSEN ST
SAVANNAH, GA 31405
Chatham County (912) 355-7766

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 Ob/Gyn Center LLC's NPI number?

The NPI number for Southeastern Ob/Gyn Center LLC is 1346534831. It was assigned to this organization in the NPPES registry on June 2, 2011.

Where is Southeastern Ob/Gyn Center LLC located?

Southeastern Ob/Gyn Center LLC is located at 5311 Paulsen St, Savannah, GA 31405. The listed phone number is (912) 355-1111.

What is Southeastern Ob/Gyn Center LLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Does Southeastern Ob/Gyn Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 11D2028834) is associated with this NPI, valid through August 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Southeastern Ob/Gyn Center LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Southeastern Ob/Gyn Center LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Southeastern Ob/Gyn Center LLC was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.