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NPI 1235417288
● Active Type 2 · Organization
Southeastern Regional Medical Center, Inc.
General Acute Care Hospital · Newnan, GA · NPI 1235417288
·
Enumerated 2011 · 14 years on NPI
Southeastern Regional Medical Center, Inc. is 1 of 309 general acute care hospital organizations in Georgia.
NPI age
14 years
Enumerated 2011-07-25
Primary specialty
General Acute Care Hospital
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Caldwell
Cfo
Last NPPES update
2026-03-18
Source: monthly bulk 2026-05
How this organization compares
Across 309 active general acute care hospital providers in Georgia.
NPI age
14 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
NPI lifetime · 2011 → 2026
2011-07 Enumerated in NPPES
2011
2026
Where they practice
Primary practice location
600 Celebrate Life Pkwy
Newnan, GA 302658001
📞 7704006000
Mailing address
2610 Sheridan Rd
Zion, IL 600992615
Authorized official
Andrew Caldwell
Cfo
📞 7004006080
Individual providers at this organization
20 individual providers on file at this primary practice address.
Bamidele Adesunloye , MD
Internal Medicine
NPI 1598736597
Shanetia Avinger , NP
Nurse Practitioner
NPI 1427441179
Mark Axness , MD
Anesthesiology
NPI 1588630222
Eliza Bacot , NP
Nurse Practitioner
NPI 1891973483
Julianne Baily , AGACNP-BC
Nurse Practitioner
NPI 1386026151
Benjamin Baker
Nurse Practitioner
NPI 1104212869
Gary Bernstein , M.D.
Surgery
NPI 1073526901
Hunter Bowling
Nurse Anesthetist, Certified Registered
NPI 1053164392
Liz Brack , RN
Registered Nurse
NPI 1053132696
Robin Carden , RNFA
Registered Nurse
NPI 1073109351
Jennifer Cargile , SLP
Speech-Language Pathologist
NPI 1568627933
Shahin Chowdhury , DO
Internal Medicine
NPI 1225065766
Carter Co , M.D.
Internal Medicine
NPI 1164547022
Kennedy Davis
Dietitian, Registered
NPI 1306709035
Frederick Durden , MD
Plastic Surgery
NPI 1073799490
Salman Eraj , MD
Radiology
NPI 1891282463
Altovise Ewing , PH.D.
Genetic Counselor, MS
NPI 1265820369
Janell Fenn , NP
Nurse Practitioner
NPI 1245832971
Carl Frizell , PA
Physician Assistant
NPI 1437518859
Omar Ganzy , NP
Nurse Practitioner
NPI 1710524764
Specialties
General Acute Care Hospital
Primary
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital...
taxonomy 282N00000X
Identifiers
Type Value Notes
05 (GA)
003136026A
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
CITY OF HOPE CANCER CENTER ATLANTA
Type code 3
recorded 2025-01-06
Southeastern Regional Medical Center, LLC
Type code 4
recorded 2025-01-06
Practice context
Multi-provider organization.
20 individual providers on file at this primary address.
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How to verify this organization
Confirm the NPI on NPPES. The CMS registry is the system of record. Open NPPES →
Verify the organization is in good standing. Cross-check with the state's business registration and any applicable licensing boards.
Confirm payer enrollment if billing. NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.