Washington County Emergency Medicine Group, LLC

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

17000094 Issued in GA

Legal business name

WASHINGTON COUNTY EMERGENCY MEDICINE GROUP, LLC

Doing business as

Washington County Regional Medical Center

Practice address

610 Sparta Rd
Sandersville, GA 31082-1860

Phone

(478) 240-2000

Fax

(478) 240-2377

NPI assigned

Jan 17, 2017

Organization subpart

Yes

Parent organization

HOSPITAL AUTHORITY OF WASHINGTON COUNTYAs reported in NPPES

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

Authorized official

Name

Mrs. Cynthia Parker

Title

Fiscal Service Director

Phone

(478) 240-2102

Specialties & licenses 1

Addresses

Other names 1

• Washington County Regional Medical Center Doing business as

Part of

Wash Co Regional Medica

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Hospital Authority of Washington County

  • Land Ambulance
  • Sandersville, GA
  • NPI 1538239132

  Member Of

  NPD member

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

{
    "created_epoch": "1484611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484611200000",
    "number": "1174069959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 SPARTA RD",
            "city": "SANDERSVILLE",
            "state": "GA",
            "postal_code": "310821860",
            "telephone_number": "478-240-2000",
            "fax_number": "478-240-2377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 SPARTA RD",
            "city": "SANDERSVILLE",
            "state": "GA",
            "postal_code": "310821860",
            "telephone_number": "478-240-2000",
            "fax_number": "478-240-2377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON COUNTY EMERGENCY MEDICINE GROUP, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOSPITAL AUTHORITY OF WASHINGTON COUNTY",
        "enumeration_date": "2017-01-17",
        "last_updated": "2017-01-17",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "FISCAL SERVICE DIRECTOR",
        "authorized_official_telephone_number": "478-240-2102",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "17000094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Washington County Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Tiffany Waliker
• Washington County Board of Education
• Washington County Board of Health
• Washington County Internal Medicine, P.C.
• Washington County Regional Medical Center
• Latanya Watts, LPC
• WC Physician Group LLC
• Wellness Shuttle LLC

• Emergency Medicine Physician in Sandersville, GA
• Providers in Sandersville, GA by specialty
• Emergency Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.