GEORGIA EMERGENCY GROUP, LLC (NPI# 1952746638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952746638 |
| Entity Type | Organization |
| Organization Name | GEORGIA EMERGENCY GROUP, LLC |
| Practice Address |
601 S 8th St Griffin GA 30224-4213 |
| Mailing Address |
Po Box 22079 Belfast ME 04915-4117 |
| Practice Telephone | 7708745400 |
| Practice Fax Number | 7708745483 |
| Mailing Telephone | 7708745400 |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2020-02-05 |
| Authorized Official Name | KIM H LARSEN (DIRECTOR OF CREDENTIALING) |
| Authorized Official Telephone | 7708745400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1050 Mcdonough Rd, Jackson, GA 302331524 | 7707757861 |
| Street Address |
601 S 8TH ST |
| City | GRIFFIN |
| State | GA |
| Zip Code | 30224-4213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972585446 | Onwura Michael Obiekwe | Family Medicine | 601 S 8th St, Griffin, GA 30224-4213 | 2005-11-18 |
| 1629690730 | Alexander Herbert Bland | Pharmacist | 601 S 8th St, Griffin, GA 30224-4213 | 2020-05-12 |
| 1235769225 | Brittany Leigh Hilley | Nurse Practitioner | 601 S 8th St, Griffin, GA 30224-4213 | 2020-01-19 |
| 1861035677 | Ashley Cowan | Pharmacist | 601 S 8th St, Griffin, GA 30224-4213 | 2019-10-24 |
| 1669020566 | Nour Abuzaidieh | Pharmacist | 601 S 8th St, Griffin, GA 30224-4213 | 2019-09-04 |
| 1932757929 | Richard Grantphil Reid | Pharmacist | 601 S 8th St, Griffin, GA 30224-4213 | 2019-09-03 |
| 1487202628 | Valerie Mathis | Pharmacist | 601 S 8th St, Griffin, GA 30224-4213 | 2019-08-30 |
| 1124676440 | Jennifer Brock Smith | Pharmacist | 601 S 8th St, Griffin, GA 30224-4213 | 2019-08-29 |
| 1790333284 | Diane Marie Brown | Pharmacist | 601 S 8th St, Griffin, GA 30224-4213 | 2019-08-28 |
| 1669029591 | Virginia Mathis | Pharmacist | 601 S 8th St, Griffin, GA 30224-4213 | 2019-08-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346888971 | Latamika Renee Williams | Counselor | 1710 Ga-16 West, #6, Griffin, GA 30224 | 2019-12-13 |
| 1063062651 | Dominique S Paul-thompson | Contractor | 112 Deercreek Parkway, Griffin, GA 30224 | 2019-09-16 |
| 1497303531 | Xiaohui Zhang Brotzge | Physician Assistant | 601 S 8th Street, Griffin, GA 30224 | 2019-09-02 |
| 1548812282 | Andrew Dennis Nesmith | Registered Nurse | 601 South 8th St, Emergency Room, Griffin, GA 30224 | 2019-07-12 |
| 1073009122 | Alicia Skye Ledford | Nurse Practitioner | 619 S 8th St., Suite 200, Griffin, GA 30224 | 2018-07-02 |
| 1649787102 | Judith Fuajong Ngulefac | Nurse Practitioner | 1705 Williamson Rd, Griffin, GA 30224 | 2018-01-05 |
| 1699297077 | Amanda Norman | Speech-Language Pathologist | 106 Garnet Ln, Griffin, GA 30224 | 2017-07-07 |
| 1306214655 | Ruchi P Gandhi | Optometrist | 646 8th Street, Griffin, GA 30224 | 2015-09-03 |
| 1528473881 | Nnenna Ezeilo | Otolaryngology | 619 S 8th St Ste 304, Griffin, GA 30224 | 2014-06-25 |
| 1437436094 | C. B. Reddy Md PC | Preferred Provider Organization | 610 S 8th Street, Suite F, Griffin, GA 30224 | 2011-11-10 |
| Find all providers in zip 30224 | ||||
| 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 |
|---|---|---|---|---|
| 1972923258 | Maxine Owusu | Emergency Medicine | 601 S 8th St, Griffin, GA 30224-4213 | 2014-04-24 |
| 1568616860 | Apollomd Group Services, LLC | Emergency Medicine | 601 S 8th St, Griffin, GA 30224-4213 | 2008-11-13 |
| 1417112475 | Ike A Nwaobi | Emergency Medicine | 601 S 8th St, Griffin, GA 30224-4213 | 2008-07-18 |
| 1790799799 | Jehangir Tanveer Pirzada | Emergency Medicine | 601 S 8th St, Griffin, GA 30224-4213 | 2006-07-28 |
| 1174543276 | Dwayne L Watkins | Emergency Medicine | 327 S 9th St, Griffin, GA 30224-4111 | 2006-07-20 |
| 1881620870 | Robert J Hull | Emergency Medicine | 601 S 8th St, Griffin, GA 30224-4213 | 2006-06-23 |
| 1841233277 | Henry Michael Webb | Emergency Medicine | 601 S 8th St, Griffin, GA 30224-4213 | 2006-06-14 |
| 1609818590 | Kamlesh Patel | Emergency Medicine | 601 S 8th St, Griffin, GA 30224-4213 | 2006-06-12 |
| 1053352716 | Jestina S Mason | Emergency Medicine | 601 S 8th St, Griffin, GA 30224-4213 | 2006-06-10 |
| 1942247929 | Howard Douglas Stirne | Emergency Medicine | 601 S 8th St, Griffin, GA 30224-4213 | 2006-05-31 |
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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.