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

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: November 01, 2026.

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

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
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

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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southeastern Cardiology Associates Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Southeastern Cardiology Associates PC, which bills Medicare for the services they deliver. Of these, 8 practice at this address. They are listed nearest first.

Clinicians by Medicare Specialty 3

Cardiovascular Disease (Cardiology)7
Interventional Cardiology2
Nurse Practitioner1

Clinicians, nearest first (10)

Cardiovascular Disease (Cardiology)
NPI 1285683755
2121 WARM SPRINGS RD
Columbus, GA 31904
(706) 243-4500
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1316393382
2121 WARM SPRINGS RD
Columbus, GA 31904
(706) 243-4500
✔ PECOSSame address
Interventional Cardiology
NPI 1679557375
2121 WARM SPRINGS RD
Columbus, GA 31904
(706) 243-4500
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1508029802
2121 WARM SPRINGS RD
Columbus, GA 31904
(706) 243-4500
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1285945295
2121 WARM SPRINGS RD
Columbus, GA 31904
(706) 243-4500
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1255303897
2121 WARM SPRINGS RD
Columbus, GA 31904
(706) 243-4500
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1740693696
2121 WARM SPRINGS RD
Columbus, GA 31904
(706) 243-4500
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1528713104
2121 WARM SPRINGS RD
Columbus, GA 31904
(706) 243-4500
✔ PECOSSame address
Interventional Cardiology
NPI 1649684622
1222 TROTWOOD AVE STE 211
Columbia, TN 38401
(931) 777-2300
✔ PECOS✔ Accepts Medicare246 mi
Cardiovascular Disease (Cardiology)
NPI 1750844262
56-45 MAIN STREET
Flushing, NY 11355
(718) 670-1286
✔ PECOS✔ Accepts Medicare839 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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 Cardiology Associates PC's NPI number?

The NPI number for Southeastern Cardiology Associates PC is 1376527077. It was assigned to this organization in the NPPES registry on December 6, 2005.

Where is Southeastern Cardiology Associates PC located?

Southeastern Cardiology Associates PC is located at 2121 Warm Springs Rd, Columbus, GA 31904. The listed phone number is (706) 243-4500.

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.

Is Southeastern Cardiology Associates PC enrolled in Medicare?

Yes. Southeastern Cardiology Associates PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southeastern Cardiology Associates PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 3 Medicare specialties reassign their Medicare billing to Southeastern Cardiology Associates PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Cardiovascular Disease (Cardiology) (7), Interventional Cardiology (2) and Nurse Practitioner (1). Of these, 8 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Southeastern Cardiology Associates PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1043414) is associated with this NPI, valid through July 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Southeastern Cardiology Associates PC accept?

Health plans from Ambetter Health list Southeastern Cardiology Associates PC 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 Cardiology Associates PC was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.