Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southeastern Independent Psychiatry, PC

Organization Psychiatry Physician · NPI 1134360183

Southeastern Independent Psychiatry, PC is a Psychiatry Physician in Rome, Georgia. Licensed in Georgia. Registered with an NPI since 2009.

Licensed in
GA
In the registry since
2009
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

17 Oneill St SW
Rome, GA 30161-6023
Phone: (706) 235-2475
Fax: (706) 235-2472
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 021410 (GA)

Record details

NPI number1134360183
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Douglas Laipple — Owner · (706) 235-2475
NPI enumeratedMarch 19, 2009
Last updated in NPPESMarch 19, 2009
Mailing address17 Oneill St Sw, Rome, GA 30161-6023

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