EMERGENCY MEDICINE SOUTH LLC – NPI #1194785170
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.

EMERGENCY MEDICINE SOUTH LLC is a provider located in VALDOSTA, GA. NPPES has assigned the NPI number 1194785170 to EMERGENCY MEDICINE SOUTH LLC on March 24, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207P00000X from the Health Care Provider Taxonomy code set, which is classified as Emergency Medicine.

The NPI profile was previously updated about 17 years ago on Dec 12, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EMERGENCY MEDICINE SOUTH LLC below.

NPI Profile for
EMERGENCY MEDICINE SOUTH LLC

NPI Number
1194785170
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EMERGENCY MEDICINE SOUTH LLC
Primary location
2501 N PATTERSON ST
VALDOSTA, GA 31602
Phone: (229) 333-1000 Fax:
Mailing address
PO BOX 402059
ATLANTA, GA 30384-2059
Phone: (229) 333-1000 Fax:
Organization Subpart
No
Authorized Official
PAM KLEBOSITS
PRACTICE ADMINISTRATOR
Phone: (229) 259-4660
Updated
Identifiers

Identifiers for EMERGENCY MEDICINE SOUTH LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERBLUE CROSS BLUE SHIELDGA5272824401
OTHERFECA US DEPT OF LABOR158191000
MEDICAIDFL258338100
MEDICAIDFL256338100
MEDICAIDGA300033708A
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207P00000X
- Emergency Medicine (Primary)
261QE0002X
- Clinic/Center / Emergency Care

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.