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SOUTHEAST LUNG ASSOCIATES
NPI 1396167557
Internal Medicine - Pulmonary Disease in Baxley, GA

Active since January 07, 2014
105 E TOLLISON ST, # A, BAXLEY, GA 31513(912) 927-6270(912) 927-6254 Get Directions Write a Review

NPPES record last updated: May 2, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southeast Lung Associates NPPES

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

SOUTHEAST LUNG ASSOCIATES (NPI 1396167557) is a healthcare organization registered as a pulmonary disease in Baxley, Georgia and active in the NPI registry since January 2014. The organization lists April Young, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1396167557
Entity TypeOrganization
Primary Taxonomy207RP1001X
Legal Business NameSOUTHEAST LUNG & CRITICAL CARE SPECIALISTS, PC
Location Address105 E TOLLISON ST, # ABaxley, GA 31513-0149
Mailing AddressPo Box 14417Savannah, GA 31416-1417 · (912) 927-6270 · Fax (912) 927-6254
Phone(912) 927-6270
Fax(912) 927-6254
Organization SubpartNo
Authorized OfficialApril YoungPractice Administrator · (912) 629-0457
Enumeration DateJanuary 7, 2014
Last NPPES UpdateMay 2, 2014
✔ NPI 1396167557 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 E TOLLISON ST, Baxley, GA 31513
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Other Names 1

Doing Business AsSoutheast Lung Associates

Other Identifiers 18

Medicaid003137375AGA
Medicaid221012519BGA
Medicare PIN202I504201GA
Medicaid003126241AGA
Medicaid003129392AGA
Medicare PIN2025036I60GA
Medicare PIN202I975623GA
Medicaid795377228AGA
Medicaid003129391AGA
Medicare PIN50BBFCPGA
Medicaid003134446AGA
Medicare PIN202I502513GA
Medicare PIN202I975803GA
Medicaid000788818LGA
Medicaid003124134CGA
Medicare PIN202I114674GA
Medicare PIN202I500568GA
Medicare PIN97WCJQBGA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

LOGAN BROOKE TILLMAN FNP
Nurse Practitioner (Family)
105 E TOLLISON ST
BAXLEY, GA 31513
Appling County (912) 367-0102
THE BAXLEY & APPLING COUNTY HOSPITAL AUTHORITY
Clinic/Center (Rural Health)
105 E TOLLISON ST
BAXLEY, GA 31513
Appling County (912) 367-4122
MELANIE S YOUNG FNP
Nurse Practitioner (Family)
105 E TOLLISON ST, SUITE D
BAXLEY, GA 31513
Appling County (912) 366-9688
THE BAXLEY AND APPLING COUNTY HOSPITAL AUTHORITY
Clinic/Center (Rural Health)
105 E TOLLISON ST, SUITE D
BAXLEY, GA 31513
Appling County (912) 366-9688

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 1396167557. It was assigned to this organization in the NPPES registry on January 7, 2014. 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 E Tollison St # A, Baxley, GA 31513. The listed phone number is (912) 927-6270.

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 May 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.