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SOUTH GEORGIA LUNG SPECIALISTS,PC
NPI 1700898871
Internal Medicine - Pulmonary Disease in Waycross, GA

Active since August 13, 2006
1406 HABERSHAM DR, WAYCROSS, GA 31501(912) 287-0333 Get Directions Write a Review

NPPES record last updated: April 7, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About South Georgia Lung Specialists,pc NPPES

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

SOUTH GEORGIA LUNG SPECIALISTS,PC (NPI 1700898871) is a healthcare organization registered as a pulmonary disease in Waycross, Georgia and active in the NPI registry since August 2006. The organization lists Manel Dinesh Nayak, President-corporation, as its authorized official.

NPPES Registry Identity

NPI1700898871
Entity TypeOrganization
Primary Taxonomy207RP1001X
Legal Business NameSOUTH GEORGIA LUNG SPECIALISTS,PC
Location Address1406 HABERSHAM DRWaycross, GA 31501-5306
Mailing AddressPo Box 1525Waycross, GA 31502-1525 · (912) 287-0333
Phone(912) 287-0333
Organization SubpartNo
Authorized OfficialManel Dinesh NayakPresident-corporation · (912) 287-0333
Enumeration DateAugust 13, 2006
Last NPPES UpdateApril 7, 2015
✔ NPI 1700898871 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.
1406 HABERSHAM DR, Waycross, GA 31501
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Other Identifiers 2

Medicare ID-Type UnspecifiedGRP3348Medicare Group Number
Medicaid300034294AGA

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

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.

ONE SOURCE VASCULAR
Clinic/Center (Medical Specialty)
1406 HABERSHAM DR
WAYCROSS, GA 31501
Ware County (912) 490-9420
SOUTH GEORGIA PHYSICIANS GROUP, LLC
Obstetrics & Gynecology
1406 HABERSHAM DR
WAYCROSS, GA 31501
Ware County (912) 287-1130

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 South Georgia Lung Specialists,pc's NPI number?

The NPI number for South Georgia Lung Specialists,pc is 1700898871. It was assigned to this organization in the NPPES registry on August 13, 2006.

Where is South Georgia Lung Specialists,pc located?

South Georgia Lung Specialists,pc is located at 1406 Habersham Dr, Waycross, GA 31501. The listed phone number is (912) 287-0333.

What is South Georgia Lung 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 South Georgia Lung Specialists,pc was last updated on April 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.