SOUTHEAST LUNG ASSOCIATES
NPI 1922402122
Internal Medicine - Pulmonary Disease in Jesup, GA

NPI Status: Active since October 16, 2014

Contact Information

230 MEMORIAL DR
JESUP, GA
ZIP 31545
Phone: (912) 629-2290
Fax: (912) 629-2291

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  • Organization
  • Internal Medicine
  • Pulmonary Disease

About SOUTHEAST LUNG ASSOCIATES

This page provides the complete NPI Profile along with additional information for Southeast Lung Associates, an internist established in Jesup, Georgia operating as a Internal Medicine, focusing in pulmonary disease . The healthcare provider is registered in the NPI registry with number 1922402122 assigned on October 2014. The practitioner's primary taxonomy code is 207RP1001X. The provider is registered as an organization and their NPI record was last updated 11 years ago. Southeast Lung Associates operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Southeast Lung Associates. The authorized official of this NPI record is April Young (Practice Administrator)

NPI
1922402122
Provider Legal Name
SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS, PC
Other Organization Name
SOUTHEAST LUNG ASSOCIATES
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
230 MEMORIAL DR JESUP, GA 31545
Location Phone
(912) 629-2290
Location Fax
(912) 629-2291
Mailing Address
PO BOX 14417 SAVANNAH, GA 31416
Mailing Phone
(912) 629-2290
Mailing Fax
(912) 629-2291
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-16-2014
Last Update Date
10-16-2014
Code Navigator

An internist like Southeast Lung Associates is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Pulmonary Disease

Taxonomy Code
207RP1001X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

APRIL YOUNG

Authorized Official Title
PRACTICE ADMINISTRATOR
Authorized Official Phone
(912) 629-0457

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
000473833FMEDICAID (05)GA 
003137375AMEDICAID (05)GA 
003129391AMEDICAID (05)GA 
795377228AMEDICAID (05)GA 
202I502513MEDICARE PIN (08)GA 
97WCJQBMEDICARE PIN (08)GA 
003126241AMEDICAID (05)GA 
003129392AMEDICAID (05)GA 
2025036I60MEDICARE PIN (08)GA 
202I504201MEDICARE PIN (08)GA 
221012519BMEDICAID (05)GA 
202I500568MEDICARE PIN (08)GA 
50BBFCPMEDICARE PIN (08)GA 
202I974459MEDICARE PIN (08)GA 
202I975803MEDICARE PIN (08)GA 
29BDBZWMEDICARE PIN (08)GA 
000526336AMEDICAID (05)GA 
003124134CMEDICAID (05)GA 
29BDBXPMEDICARE PIN (08)GA 
003134446AMEDICAID (05)GA 
202I975623MEDICARE PIN (08)GA 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1922402122
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
294280414
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 4 + 2 + 8 + 0 + 4 + 1 + 4 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1922402122 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1649409772STEPHEN P SMITH, M. D., P. C.
Organization
Internal Medicine230 MEMORIAL DR
JESUP, GA 31545
(912) 427-8418

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922402122, enumerated in the NPI registry as an "organization" on October 16, 2014

The provider is located at 230 Memorial Dr Jesup, Ga 31545 and the phone number is (912) 629-2290

This medical organization specializes in Internal Medicine with taxonomy code 207RP1001X with a focus in Pulmonary Disease

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on October 16, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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