P Praxis·MD
● Active Type 2 · Organization

Southeast Ent & Facial Plastic Surgeyr, Pc

Otolaryngology·Pooler, GA· NPI 1912288135 · Enumerated 2011 · 14 years on NPI
Southeast Ent & Facial Plastic Surgeyr, Pc is 1 of 34 otolaryngology organizations in Georgia.
NPI age
14 years
Enumerated 2011-09-01
Primary specialty
Otolaryngology
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Johnson
Owner
Last NPPES update
2011-09-01
Source: monthly bulk 2026-05

How this organization compares

Across 34 active otolaryngology providers in Georgia.

NPI age
14 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2011 → 2026

2011-09Enumerated in NPPES
2011 2026

Where they practice

Primary practice location
1000 Towne Center Blvd, Suite 501
Pooler, GA 313224052
📞 9123305030fax 9123305033
Mailing address
1000 Towne Center Blvd, Suite 501
Pooler, GA 313224052
📞 9123305030fax 9123305033

Authorized official

Robert E Johnson, M.D.
Owner
📞 9123305030

Individual providers at this organization

20 individual providers on file at this primary practice address.

Specialties

  • Otolaryngology Primary
    An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
    GA license #035071 taxonomy 207YX0905X

Practice context

Multi-provider organization. 20 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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