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BY THE SEA PHYSICIAN PRACTICE LLC NPI 1386885622


NPI Information

NPI: 1386885622
Provider Name: BY THE SEA PHYSICIAN PRACTICE LLC

Doing Business As: ST. SIMONS-BY-THE-SEA

Classification: Psychiatric Hospital - 283Q00000X
Entity Type: Organization

CLIA Number: 11D0956667

Address:
2927 DEMERE RD
SAINT SIMONS ISLAND, GA
ZIP 31522
Phone: (912) 638-1999
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BY THE SEA PHYSICIAN PRACTICE LLC is a psychiatric hospital in Saint Simons Island, GA. The provider is an organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. BY THE SEA PHYSICIAN PRACTICE LLC NPI is 1386885622. The provider is registered as an organization entity type.
The provider Is Doing Business As St. Simons-by-the-sea.

The provider's business location address is:

2927 DEMERE RD
SAINT SIMONS ISLAND, GA
ZIP 31522-620
Phone: (912) 638-1999
Fax: (912) 638-2112

The provider's authorized official is Christopher L. Howard .
The authorized official title is Vice President & Secretary and has the following contact phone number (615) 312-5700.

The CLIA number assigned to this NPI record is 11D0956667 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 3/17/2009 and was last updated on 3/17/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1283Q00000XPsychiatric HospitalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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