NPIMap

Individual provider Active NPI

Bobby Louis Herrington, MD

  • Emergency Medicine Physician
  • Hinesville, GA
National Provider Identifier
1003860743
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
031942 Issued in GA
Practice address
462 E G Miles Pkwy
Hinesville, GA 31313-4000
Phone
(912) 877-7559
NPI assigned
May 19, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 031942 GA Primary

Addresses

Primary practice location

462 E G Miles Pkwy
Hinesville, GA 31313-4000

Mailing address

200 Corporate Blvd
Suite 201
Lafayette, LA 70508-3870
Phone (912) 877-7559

Other identifiers 1

IdentifierTypeStateIssuer
000424102HMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050719000611 GA Practitioner - Internal MedicinePractitioner - Emergency Medicine 9739116062 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Emergency Medicine
Education
Medical College of Georgia School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wayne Emergency Group LLCGroup PAC ID 6103926241, 12 clinicians

Practice addresses (Care Compare)

865 S 1St St
Jesup, GA 31545-0210
Phone (912) 530-3395

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
96.23
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
031942GAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wayne Emergency Group LLC Emergency Medicine CurrentSince Jun 1, 2007 Accepting new patients
Liberty Emergency Group LLC Emergency Medicine Past Accepting new patients
Southland Optim Jenkins Emergency Medical Services, LLC Emergency Medicine Past Accepting new patients
Wills Memorial Emergency Medical Services, LLC Emergency Medicine Past Accepting new patients
Evans Emergency Group LLC Emergency Medicine Past Accepting new patients
Jesup Emergency Services, LLC Emergency Medicine Past Accepting new patients

Locations

865 S 1st St
Jesup, GA 31545
Phone (912) 427-6811

200 Corporate Blvd
Ste 201
Lafayette, LA 70508

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Liberty Regional Medical CenterHinesville, GA, CCN 111335 Hospital Corporate Officer Nov 5, 2014
Liberty Regional Medical CenterHinesville, GA, CCN 11Z335 Hospital Corporate Officer Dec 1, 2008

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003860743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORPORATE BLVD",
            "address_2": "SUITE 201",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083870",
            "telephone_number": "912-877-7559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 E G MILES PKWY",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313134000",
            "telephone_number": "912-877-7559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRINGTON",
        "first_name": "BOBBY",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "031942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000424102H",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinesville, GA

Sources for this page

Verify at the official NPI Registry.