SOUTHLAND EMERGENCY MEDICAL SERVICES, L.L.C (NPI# 1477701472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477701472 |
| Entity Type | Organization |
| Organization Name | SOUTHLAND EMERGENCY MEDICAL SERVICES, L.L.C |
| Practice Address |
100 E Madison St Thomasville GA 31792 |
| Mailing Address |
Po Box 1276 Thomasville GA 31799-1276 |
| Practice Telephone | 2292360831 |
| Practice Fax Number | 2292360871 |
| Mailing Telephone | 2292360831 |
| Mailing Fax Number | 2292360871 |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2018-06-28 |
| Authorized Official Name | STEPHANIE FLETCHER (CFO) |
| Authorized Official Telephone | 2292360831 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 171W00000X | Contractor | 050087 | GA | Other Service Providers |
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
100 E MADISON ST |
| City | THOMASVILLE |
| State | GA |
| Zip Code | 31792 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245739879 | Georgia Pines Community Service Board | Community/Behavioral Health | 407 Cloverdale Drive, Thomasville, GA 31792 | 2018-02-09 |
| 1932613551 | Diana Diaz | Physician Assistant | 2705 E Pinetree Blvd Ste A, Thomasville, GA 31792 | 2017-11-17 |
| 1194249425 | Bobbie Frazier | Contractor | 400 Cloverdale Dr, Thomasville, GA 31792 | 2017-07-28 |
| 1598132292 | Southern Scripts, LLC | Pharmacy | 501 Gordon Avenue, Thomasville, GA 31792 | 2015-08-28 |
| 1508248915 | Elizabeth Nicole Keen | Behavioral Analyst | 121 Covington Ave Apt 9, Thomasville, GA 31792 | 2015-06-22 |
| 1417341579 | Sheila L Stanley | Counselor | 301 Summercreek Cove, Thomasville, GA 31792 | 2015-03-26 |
| 1457749301 | Ashley Lamb | Speech-Language Pathologist | 1203 East Jackson Street, Thomasville, GA 31792 | 2014-12-30 |
| 1831403880 | Somnoquest | Durable Medical Equipment & Medical Supplies | 556 Hall Road, Thomasville, GA 31792 | 2010-08-02 |
| 1508000183 | Kashyap B Choksi | Internal Medicine | 100 Mimosa Drive 2nd Floor, Thomasville, GA 31792 | 2009-04-27 |
| 1205008786 | Mark J Glaccum | Chiropractor | 415 Gordon Avenue, Thomasville, GA 31792 | 2008-03-25 |
| Find all providers in zip 31792 | ||||
| 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 |
|---|---|---|---|---|
| 1619028255 | Mark Lee | Emergency Medicine | 315 Avalon Way, Thomasville, GA 31792-1902 | 2007-01-12 |
| 1144370206 | Winston Connell Jr. | Emergency Medicine | Gordon Avenue At Mimosa Drive, Thomasville, GA 31799-1018 | 2007-01-11 |
| 1871609248 | Martha S. Ward | Emergency Medicine | 701 S Hansell St, Thomasville, GA 31792-5558 | 2006-08-21 |
| 1326082298 | James T Brown Jr. | Emergency Medicine | 454 Smith Ave, Thomasville, GA 31792 | 2006-06-15 |
| 1306819545 | Elizabeth P Owings | Emergency Medicine | 33700 Hwy 43, Ste. E, Thomasville, AL 36784-3555 | 2006-02-08 |
| 1356987457 | Jessica Brown | Emergency Medicine | 112 Mimosa Dr, Thomasville, GA 31792-6605 | 2019-11-23 |
| 1295206464 | Piedmont Triad Physicians, Pllc | Emergency Medicine | 207 Old Lexington Rd, Thomasville, NC 27360-3428 | 2018-12-16 |
| 1386903649 | South Georgia Emergency Medicine Associates PC | Emergency Medicine | 915 Gordon Ave, Thomasville, GA 31792-6614 | 2012-05-08 |
| 1386910586 | Southland Hospitalist Group, LLC | Emergency Medicine | 915 Gordon Ave, Thomasville, GA 31792-6614 | 2012-04-02 |
| 1235388695 | Swamc Er Management, LLC | Emergency Medicine | 33700 Highway 43, Thomasville, AL 36784-3335 | 2008-09-10 |
| Find all providers in THOMASVILLE | ||||
| City | THOMASVILLE |
| Zip Code | 31792 |
Please comment or provide details below to improve the information on SOUTHLAND EMERGENCY MEDICAL SERVICES, L.L.C.
| 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.