NPIMap

Organization Active NPI

Fort Oglethorpe Emergency Physicians Group LLC

  • Emergency Medicine Physician
  • Blue Ridge, GA
National Provider Identifier
1174024376
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
FORT OGLETHORPE EMERGENCY PHYSICIANS GROUP LLC
Practice address
2855 Old Highway 5
Blue Ridge, GA 30513-6248
Phone
(323) 486-0060
NPI assigned
Feb 22, 2018
Last updated
Jul 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Authorized official

Name
Boykin Robinson, MD
Title
Ceo
Phone
(404) 800-8147

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X NU Primary

Addresses

Primary practice location

2855 Old Highway 5
Blue Ridge, GA 30513-6248

Mailing address

400 Galleria Pkwy SE Ste 960
Atlanta, GA 30339-5980
Phone (404) 500-8147

Other practice location 1

901 18th St E
Tifton, GA 31794-3648
Phone (229) 353-6185

Other practice location 2

801 W Gordon St
Thomaston, GA 30286-3426
Phone (706) 647-8111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180521000111 GA Part B Supplier - Clinic/Group Practice 8527323633 Receives reassigned benefits from 128 practitioners
Practice locations: Tifton, GA; Thomaston, GA; Blue Ridge, GA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 130

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 130

NPI Registry JSON

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

{
    "created_epoch": "1519257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783900800000",
    "number": "1174024376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 GALLERIA PKWY SE STE 960",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303395980",
            "telephone_number": "404-500-8147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 OLD HIGHWAY 5",
            "city": "BLUE RIDGE",
            "state": "GA",
            "postal_code": "305136248",
            "telephone_number": "323-486-0060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 18th St E",
            "address_purpose": "LOCATION",
            "city": "Tifton",
            "state": "GA",
            "postal_code": "317943648",
            "country_code": "US",
            "telephone_number": "229-353-6185",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "801 W Gordon St",
            "address_purpose": "LOCATION",
            "city": "Thomaston",
            "state": "GA",
            "postal_code": "302863426",
            "country_code": "US",
            "telephone_number": "706-647-8111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FORT OGLETHORPE EMERGENCY PHYSICIANS GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-22",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "BOYKIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-800-8147",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Ridge, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.