Provider Demographics
NPI:1013258524
Name:PLANNED PARENTHOOD SOUTHEAST, INC.
Entity Type:Organization
Organization Name:PLANNED PARENTHOOD SOUTHEAST, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR REVENUE CYCLE MANAGEMENT
Authorized Official - Prefix:MS
Authorized Official - First Name:SAMANTHA
Authorized Official - Middle Name:J
Authorized Official - Last Name:GAGANIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-567-8354
Mailing Address - Street 1:241 PEACHTREE ST NE STE 400
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30303-1423
Mailing Address - Country:US
Mailing Address - Phone:404-688-9305
Mailing Address - Fax:404-688-0621
Practice Address - Street 1:314 S 25TH AVE
Practice Address - Street 2:
Practice Address - City:HATTIESBURG
Practice Address - State:MS
Practice Address - Zip Code:39401-7301
Practice Address - Country:US
Practice Address - Phone:601-296-6001
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-07
Last Update Date:2023-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty