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 provides Psychiatry Physician services 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 Not confirmed with CMS for 17 years — call before visiting
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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