Viktoria Nurpeisov (NPI# 1699923169, PAC ID# 4981890951) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1699923169 |
| PAC ID by PECOS | 4981890951 |
| Professional Enrollment ID | I20101204000020 |
| Full Name | Viktoria Nurpeisov |
| Organization Legal Name | SOUTHLAND EMERGENCY MEDICAL SERVICES CONSOLIDATED, LLC |
| Address |
145 E Peacock St Cochran GA 31014-7846 |
| Phone Number | 2292004950 |
| Gender | F |
| Medical School | MEDICAL COLLEGE OF GEORGIA |
| Graduation Year | 2008 |
| Primary Specialty | EMERGENCY MEDICINE |
| Secondary Specialties | FAMILY MEDICINE |
| Group Practice PAC ID | 4183871320 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110035 | WELLSTAR KENNESTONE HOSPITAL |
| 111302 | BLECKLEY MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 145 E Peacock St, Cochran, GA 31014-7846 | 2292004950 | SOUTHLAND EMERGENCY MEDICAL SERVICES CONSOLIDATED, LLC |
| 5150 Stilesboro N W Rd, Suite 220, Kennesaw, GA 30152-7742 | 7704248222 | WELLSTAR MEDICAL GROUP, LLC |
| 625 Church Nest, Marietta, GA 30060-1101 | 7704222004 | WELLSTAR MEDICAL GROUP, LLC |
| 677 Church Nest, Marietta, GA 30060-1101 | WELLSTAR MEDICAL GROUP, LLC | |
| 677 Church St Ne, Suite 100p, Marietta, GA 30060-1101 | 4707938585 | WELLSTAR MEDICAL GROUP, LLC |
| 582 Concord Rd Se, Smyrna, GA 30082-2616 | 4706440167 | WELLSTAR MEDICAL GROUP, LLC |
| Organization Legal Name | SOUTHLAND EMERGENCY MEDICAL SERVICES CONSOLIDATED, LLC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eric J Zanghi | Internal Medicine | Southland Emergency Medical Services Consolidated, LLC | 145 E Peacock St, Cochran, GA 31014-7846 |
| Wila Zanghi | Nurse Practitioner | Southland Emergency Medical Services Consolidated, LLC | 145 E Peacock St, Cochran, GA 31014-7846 |
| Carolyn Joy Fletcher | Nurse Practitioner | Southland Emergency Medical Services Consolidated, LLC | 145 E Peacock St, Cochran, GA 31014-7846 |
| Marshall K Hinds | Family Medicine | Southland Emergency Medical Services Consolidated, LLC | 145 E Peacock St, Cochran, GA 31014-7846 |
| Robert K Graham | Emergency Medicine | Southland Emergency Medical Services Consolidated, LLC | 145 E Peacock St, Cochran, GA 31014-7846 |
| Julie J Sapp | Nurse Practitioner | Southland Emergency Medical Services Consolidated, LLC | 145 E Peacock St, Cochran, GA 31014-7846 |
| Ashley E Traylor | Nurse Practitioner | Southland Emergency Medical Services Consolidated, LLC | 145 E Peacock St, Cochran, GA 31014-7846 |
| Armando R Castillo Jr. | Pediatric Medicine | Southland Emergency Medical Services Consolidated, LLC | 145 E Peacock St, Cochran, GA 31014-7846 |
| Street Address |
145 E PEACOCK ST |
| City | COCHRAN |
| State | GA |
| Zip | 31014-7846 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberli E Carpenter | Anesthesiology | Taylor Regional Hospital | 145 E Peacock St, Ste4, Cochran, GA 31036-6748 |
| Alexander C Ibezi-enendu | Family Medicine | Taylor Regional Hospital | 145 E Peacock St, Ste4, Cochran, GA 31036-6748 |
| Donna K Tallon | Podiatry | Taylor Regional Hospital | 145 E Peacock St, Cochran, GA 31014-7846 |
| Holly G Howell | Nurse Practitioner | Taylor Regional Hospital | 145 E Peacock St, Ste4, Cochran, GA 31036-6748 |
| Sandra Gibbs | Family Medicine | 145 E Peacock St, Suite 3, Cochran, GA 31014-7846 | |
| Bailey Lanier | Nurse Practitioner | Taylor Regional Hospital | 145 E Peacock St, Ste4, Cochran, GA 31036-6748 |
| Eric J Zanghi | Internal Medicine | Southland Emergency Medical Services Consolidated, LLC | 145 E Peacock St, Cochran, GA 31014-7846 |
| Michele T Edwards | Internal Medicine | Taylor Regional Hospital | 145 E Peacock St, Ste4, Cochran, GA 31036-6748 |
| Wila Zanghi | Nurse Practitioner | Southland Emergency Medical Services Consolidated, LLC | 145 E Peacock St, Cochran, GA 31014-7846 |
| Martin A Baggett | Orthopedic Surgery | Taylor Regional Hospital | 145 E Peacock St, Cochran, GA 31014-7846 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark Bryant | Optometry | 225 E Dykes St, Cochran, GA 31014-6518 | |
| Regina Wiley | Nurse Practitioner | Taylor Regional Hospital | 136 W Dykes St, Cochran, GA 31014-6844 |
| Kathy D Wood | Chiropractic | 169 W Dykes St, Cochran, GA 31014-6921 | |
| Robert F Heath | Internal Medicine | Taylor Regional Hospital | 173 W Dykes St, Cochran, GA 31014-6921 |
| Nicole Smith | Nurse Practitioner | Taylor Regional Hospital | 173 W Dykes St, Cochran, GA 31014-6921 |
| Carolyn Joy Fletcher | Nurse Practitioner | Southland Emergency Medical Services Consolidated, LLC | 145 E Peacock St, Cochran, GA 31014-7846 |
| Marshall K Hinds | Family Medicine | Southland Emergency Medical Services Consolidated, LLC | 145 E Peacock St, Cochran, GA 31014-7846 |
| Robert K Graham | Emergency Medicine | Southland Emergency Medical Services Consolidated, LLC | 145 E Peacock St, Cochran, GA 31014-7846 |
| Julie J Sapp | Nurse Practitioner | Southland Emergency Medical Services Consolidated, LLC | 145 E Peacock St, Cochran, GA 31014-7846 |
| Ashley E Traylor | Nurse Practitioner | Southland Emergency Medical Services Consolidated, LLC | 145 E Peacock St, Cochran, GA 31014-7846 |
| Find all physicians in zip 31014 | |||
| City | COCHRAN |
| Zip Code | 31014 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | COCHRAN + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Viktoria Nurpeisov.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.