NPI age
20 years
Enumerated 2005-12-06
● Active Type 2 · Organization
Southeastern Cardiology Associates Pc
Southeastern Cardiology Associates Pc is 1 of 238 internal medicine organizations in Georgia.
Primary specialty
Internal Medicine
Practice locations
2
1 secondary on file
Status
Active
No deactivations on record
Authorized official
Condra
Credentialing Coordinator
Last NPPES update
2018-03-17
Source: monthly bulk 2026-05
How this organization compares
Across 238 active internal medicine providers in Georgia.
NPI age
20 years
↑ 2 yr above median
Practice locations
2
1 secondary on file
Subspecialties
0
NPI lifetime · 2005 → 2026
2005-12Enumerated in NPPES
2005
2026
Where they practice
Primary practice location
2121 Warm Springs Rd
Columbus, GA 319047955
Mailing address
Po Box 7067
Columbus, GA 319087067
Additional practice locations
1 secondary location on file with NPPES.
Location 2
2300 Manchester Expy, Bldg H-104
Columbus, GA 319046802
Authorized official
Abby Condra
Credentialing Coordinator
📞 7062434506
Individual providers at this organization
14 individual providers on file at this primary practice address.
- Rosemary Allen, PA Physician Assistant NPI 1942785118
- Joselyn Amadiz Bonilla, PA-C Physician Assistant NPI 1386523637
- MacKenzie Burt, NP Nurse Practitioner NPI 1699556639
- Hunter Champion, M.D. Internal Medicine NPI 1285683755
- Erin Cullefer, NP Nurse Practitioner NPI 1316393382
- Shane Darrah, M.D. Internal Medicine NPI 1679557375
- Akram Ibrahim, MD Internal Medicine NPI 1508029802
- Byungsoo Ko, MD Internal Medicine NPI 1285945295
- Sheri Lopez, M.D. Internal Medicine NPI 1255303897
- Travis Massengill Internal Medicine NPI 1740693696
- Louis Verreault-Julien Internal Medicine NPI 1528713104
- James Vickers, PA-C Physician Assistant NPI 1669522496
- Sally Watkins, AGACNP Nurse Practitioner NPI 1437634011
- Sally Worst, PA-C Physician Assistant NPI 1598482127
Specialties
-
Internal Medicine PrimaryAn area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical...
Practice context
Multi-provider organization. 14 individual providers on file at this primary address. Plus 1 secondary practice location.
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- 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.