SOUTHEASTERN CARDIOLOGY ASSOCIATES PC
NPI 1376527077
Internal Medicine - Interventional Cardiology in Columbus, GA

Q: What is Southeastern Cardiology Associates PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Active since December 06, 2005CLIA 11D1043414 · Waiver

2121 WARM SPRINGS RD, COLUMBUS, GA 31904(706) 243-4500(706) 243-4503 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 17, 2018, Jul 3, 2017 (2 updates tracked since 2017).

On this page

About Southeastern Cardiology Associates Pc NPPES

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

SOUTHEASTERN CARDIOLOGY ASSOCIATES PC (NPI 1376527077) is a healthcare organization registered as an interventional cardiology in Columbus, Georgia and active in the NPI registry since December 2005. The organization holds a CLIA Waiver certificate valid through July 21, 2027, maintains a secondary practice location in Columbus, and lists Abby Condra, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1376527077

Entity TypeOrganization

Primary Taxonomy207RI0011X

Legal Business NameSOUTHEASTERN CARDIOLOGY ASSOCIATES PC

Location Address2121 WARM SPRINGS RDColumbus, GA 31904-7955

Mailing AddressPo Box 7067Columbus, GA 31908-7067 · (706) 221-6116 · Fax (706) 221-6226

Phone(706) 243-4500

Fax(706) 243-4503

Organization SubpartNo

Authorized OfficialAbby CondraCredentialing Coordinator · (706) 243-4506

Enumeration DateDecember 6, 2005

Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration

✔ NPI 1376527077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RI0011X

License✔ Licensed in GA · 046075

Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

2121 WARM SPRINGS RD, Columbus, GA 31904

Open in Google Maps ↗

Secondary Practice Location 1

Location 12300 Manchester Expy, Bldg H-104Columbus, GA 31904-6802 · Phone (706) 243-4500 · Fax (706) 024-3450

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

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 11D1043414

Southeastern Cardiology Associates PC · Columbus, GA

Active · expires Jul 21, 2027

CLIA Number11D1043414

Laboratory TypePhysician Office

Certificate Effective DateJuly 22, 2025

Certificate Expiration DateJuly 21, 2027

Laboratory DirectorShane B. Darrah

Laboratory Phone(706) 243-4500

Laboratory LocationSoutheastern Cardiology Associates PC2121 Warm Springs Road, Columbus, GA 31904

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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.

DR. SHERI DENISE LOPEZ M.D.

Internal Medicine (Cardiovascular Disease)