SOUTHEAST ENT & FACIAL PLASTIC SURGEYR, PC
NPI 1912288135
Otolaryngology - Otolaryngology/Facial Plastic Surgery in Pooler, GA

Q: What is Southeast Ent & Facial Plastic Surgeyr, PC's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery, with taxonomy code 207YX0905X.

Active since September 01, 2011

1000 TOWNE CENTER BLVD, SUITE 501, POOLER, GA 31322(912) 330-5030(912) 330-5033 Get Directions Write a Review

NPPES record last updated: September 1, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Southeast Ent & Facial Plastic Surgeyr, Pc NPPES

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

SOUTHEAST ENT & FACIAL PLASTIC SURGEYR, PC (NPI 1912288135) is a healthcare organization registered as an otolaryngology/facial plastic surgery in Pooler, Georgia and active in the NPI registry since September 2011. The organization lists Robert E Johnson, Owner, as its authorized official.

NPPES Registry Identity

NPI1912288135

Entity TypeOrganization

Primary Taxonomy207YX0905X

Legal Business NameSOUTHEAST ENT & FACIAL PLASTIC SURGEYR, PC

Location Address1000 TOWNE CENTER BLVD, SUITE 501Pooler, GA 31322-4052

Mailing Address1000 Towne Center Blvd, Suite 501Pooler, GA 31322-4052 · (912) 330-5030 · Fax (912) 330-5033

Phone(912) 330-5030

Fax(912) 330-5033

Organization SubpartNo

Authorized OfficialRobert E JohnsonOwner · (912) 330-5030

Enumeration DateSeptember 1, 2011

✔ NPI 1912288135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Otolaryngology/Facial Plastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207YX0905X

License✔ Licensed in GA · 035071

Definition

An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.

1000 TOWNE CENTER BLVD, Pooler, GA 31322

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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 20

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

WOUND CARE CLINIC - ESU, INC.

Clinic/Center

1000 TOWNE CENTER BLVD, SUITE 705
POOLER, GA 31322

Chatham County (912) 272-9494

VISTACARE USA, INC.

Hospice Care, Community Based

1000 TOWNE CENTER BLVD, SUITE 604
POOLER, GA 31322

Chatham County (912) 330-0460

DR. MICHAEL ROBERT COHEN D.O.

Family Medicine (Adult Medicine)

1000 TOWNE CENTER BLVD, SUITE 701
POOLER, GA 31322

Chatham County (912) 748-2280

DR. TIMOTHY DALE HENDRICKS O.D.

Optometrist

1000 TOWNE CENTER BLVD, SUITE 502
POOLER, GA 31322

Chatham County (912) 748-1272

ACCESS INFUSIONS, LLC

Clinic/Center (Infusion Therapy)

1000 TOWNE CENTER BLVD, SUITE 705
POOLER, GA 31322

Chatham County (912) 358-0813

WOUND CARE CLINIC ESU, INC

Clinic/Center (Medical Specialty)

1000 TOWNE CENTER BLVD, SUITE 705
POOLER, GA 31322

Chatham County (912) 998-0040

MS. BARBARA M MARTINEZ APRN

Nurse Practitioner (Family)

1000 TOWNE CENTER BLVD, SUITE 705
POOLER, GA 31322

Chatham County (912) 272-9494

MATTHEW TYLER MERRITT PT, DPT

Physical Therapist

1000 TOWNE CENTER BLVD, SUITE 602
POOLER, GA 31322

Chatham County (912) 330-0155

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 Ent & Facial Plastic Surgeyr, PC's NPI number?

The NPI number for Southeast Ent & Facial Plastic Surgeyr, PC is 1912288135. It was assigned to this organization in the NPPES registry on September 1, 2011.

Where is Southeast Ent & Facial Plastic Surgeyr, PC located?

Southeast Ent & Facial Plastic Surgeyr, PC is located at 1000 Towne Center Blvd Suite 501, Pooler, GA 31322. The listed phone number is (912) 330-5030.

What is Southeast Ent & Facial Plastic Surgeyr, PC's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery, with taxonomy code 207YX0905X.

When was this NPI record last updated?

The NPPES record for Southeast Ent & Facial Plastic Surgeyr, PC was last updated on September 1, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.