ERMDS LLC (NPI# 1306107149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306107149 |
| Entity Type | Organization |
| Organization Name | ERMDS LLC |
| Other Organization Name | ERMDS @ MOUNTAIN LAKES MEDICAL CENTER |
| Practice Address |
196 Ridgecrest Cir Clayton GA 30525-4111 |
| Mailing Address |
Po Box 5013 Montgomery AL 36103-5013 |
| Practice Telephone | 3343860378 |
| Mailing Telephone | 3343860343 |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2012-06-07 |
| Authorized Official Name | VICKI F LAWRENSON (COO) |
| Authorized Official Telephone | 3343860343 |
| Is Organization Subpart | Y |
| Parent Organization Name | ERMDS LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| ERMDS @ Mountain Lakes Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871854612 | Ermds LLC | Emergency Medicine | 101 Hospital Cir, Luverne, AL 36049-7329 | 2012-06-07 |
| 1841500063 | Ermds LLC | Emergency Medicine | 5303 Vaughn Road, Montgomery, AL 36116-1120 | 2010-10-21 |
| Street Address |
196 RIDGECREST CIR |
| City | CLAYTON |
| State | GA |
| Zip Code | 30525-4111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427057363 | Professional Resource Mgmt of Rabun, LLC | General Acute Care Hospital | 196 Ridgecrest Cir, Surgical Service, Clayton, GA 30525-4111 | 2005-07-20 |
| 1619381845 | Timothy J Gooding | Chiropractor | 196 Ridgecrest Cir, Clayton, GA 30525-4111 | 2014-06-16 |
| 1962764308 | Inmed Clinical Services LLC | Internal Medicine | 196 Ridgecrest Cir, Clayton, GA 30525-4111 | 2012-06-12 |
| 1588925432 | Inmed Clinical Services LLC | Plastic Surgery | 196 Ridgecrest Cir, Clayton, GA 30525-4111 | 2012-06-06 |
| 1841569993 | Kimberly V Terrell | Dietitian, Registered | 196 Ridgecrest Cir, Clayton, GA 30525-4111 | 2011-12-19 |
| 1316236961 | Amara Center | Health Educator | 196 Ridgecrest Cir, Clayton, GA 30525-4111 | 2011-04-05 |
| 1134435282 | Kramer Anesthesia Consulting Service | Anesthesiology | 196 Ridgecrest Cir, Clayton, GA 30525-4111 | 2010-08-27 |
| 1497913180 | Foothills Emergency Services, LLC | Emergency Medicine | 196 Ridgecrest Cir, Clayton, GA 30525-4111 | 2008-05-29 |
| 1144491663 | Hon Medical Group, PC | Surgery | 196 Ridgecrest Cir, Clayton, GA 30525-4111 | 2008-03-13 |
| 1265560726 | Professional Resources Management of Rabun,llc | Medicare Defined Swing Bed Unit | 196 Ridgecrest Cir, Clayton, GA 30525-4111 | 2007-02-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528605839 | Charlotte Hart Fandrich | Massage Therapist | 1048 Old Highway 441 North, Clayton, GA 30525 | 2019-12-05 |
| 1922577147 | Suzanne A Frederickson | Speech-Language Pathologist | Highlands Internal Medicine, PC, 156 North Main St, Clayton, GA 30525 | 2018-11-16 |
| 1427562750 | Second Nature Blue Ridge, LLC | Psychiatric Residential Treatment Facility | 236 File St., Clayton, GA 30525 | 2017-11-22 |
| 1053854752 | Haley Vaughan Stapleton | Nurse Practitioner | 596 Mountain City Road, Clayton, GA 30525 | 2016-11-29 |
| 1154870533 | Life Point Medical, LLC | Clinic/Center | 189 Bo James Street, Suite 105, Clayton, GA 30525 | 2016-09-27 |
| 1316239122 | Jason A Bonner | Pharmacist | 1455 U.S. 441, Clayton, GA 30525 | 2011-05-11 |
| 1477842557 | Clayton Therapy Center, LLC | Marriage & Family Therapist | 24 Chechero St, Suite 2, Clayton, GA 30525 | 2011-03-29 |
| 1891959672 | Adams Hearing Aid Specialists | Hearing Instrument Specialist | 91 E Savannah Place, Clayton, GA 30525 | 2008-07-11 |
| 1578721494 | Lawrence M Gillespie | Dentist | 436 Warwoman Road, Clayton, GA 30525 | 2008-05-28 |
| 1336262112 | Clayton Family Eye Care PC | Optometrist | 50 Earl St., Suite A, Clayton, GA 30525 | 2007-04-09 |
| Find all providers in zip 30525 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225268238 | Wake Emergency Physicians Pa | Emergency Medicine | 2138 Highway 42 West, Clayton, NC 27520 | 2009-07-24 |
| 1790925097 | William C Durant | Emergency Medicine | 11373 Us Highway 70 Business West, Clayton, NC 27520-2205 | 2009-02-26 |
| 1497913180 | Foothills Emergency Services, LLC | Emergency Medicine | 196 Ridgecrest Cir, Clayton, GA 30525-4111 | 2008-05-29 |
| 1588766711 | Subrata Guha | Emergency Medicine | 11491 Us Highway 70 W, Clayton, NC 27520-2207 | 2006-09-01 |
| 1639283203 | Germany Mountain Emergency Physicians | Emergency Medicine | 196 Ridgecrest Cir, Clayton, GA 30525-4111 | 2006-08-19 |
| 1760493084 | Emcare Physician Providers Inc. | Emergency Medicine | 196 Ridgecrest Cir, Clayton, GA 30525-4111 | 2006-08-11 |
| 1558398438 | Louis Peter Fuerstman | Emergency Medicine | 196 Ridgecrest Cir, Clayton, GA 30525-4111 | 2006-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081657 | Rtw Health Services LLC | Emergency Medicine | 1951 Lenox Rd Ne, Atlanta, GA 30306-3059 | 2020-10-21 |
| 1790396984 | Chisholm Trail Urgent Care Pllc | Emergency Medicine | 11 Tsys Way, Columbus, GA 31901 | 2020-08-12 |
| 1275141467 | Viral Solutions LLC | Emergency Medicine | 1752 Moonstone Ct, Decatur, GA 30033-1411 | 2020-07-14 |
| 1376102830 | John Edward Cooke | Emergency Medicine | 2411 Tuxedo Ln Nw, Marietta, GA 30064-1898 | 2019-06-10 |
| 1538646526 | Edwige Goby Konwo-tayo | Emergency Medicine | 1183 S Hairston Rd Ste A, Stone Mountain, GA 30088-2796 | 2018-07-23 |
| 1548763899 | South Georgia Er Services, LLC | Emergency Medicine | 313 Carrick Way, Macon, GA 31210-4952 | 2018-03-13 |
| 1922517945 | Infinity Wellness Solutions LLC | Emergency Medicine | 3240 Pointe Parkway, Suite 100, Norcross, GA 30092 | 2017-09-21 |
| 1528594314 | Kendra Chantelle Krieg | Emergency Medicine | 185 Anniversary Ln, Acworth, GA 30102 | 2017-05-11 |
| 1114450806 | Peyton Jones Syed | Emergency Medicine | 13765 Brittle Rd, Alpharetta, GA 30004-3592 | 2017-04-10 |
| 1437690658 | Miles Anthony Medina | Emergency Medicine | 1133 Eagles Landing Pkwy # Er, Stockbridge, GA 30281-5085 | 2017-03-20 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.