Emergency Medicine South LLC
Organization Active NPI Emergency Medicine Physician · Valdosta, GA
NPI 1194785170 · NPPES record last updated Dec 12, 2008
Key facts
- NPI
- 1194785170
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- EMERGENCY MEDICINE SOUTH LLC
- Practice address
- 2501 N Patterson St
Valdosta, GA 31602 - Phone
- (229) 333-1000
- NPI assigned
- Mar 24, 2006
- Organization subpart
- No
Authorized official
- Name
- Pam Klebosits
- Title
- Practice Administrator
- Phone
- (229) 259-4660
Practitioners 57
-
John B Abell, M.D.
-
Simon Adames, MD
-
Sandra L Asher, ARNP
-
Thomas Scott Barber, P.A.
-
Gregory M Beach, PA
-
Carrie P. Bowling, PA-C
-
James T Brown Jr., M.D.
-
Jeffrey Cohan, DO
-
Sharon D Colvin, MD
-
Jason Cox, MD
-
Kelly W Drumheller, NP C
-
Mark A Globerman, PA-C
-
Priscilla R Greene, FHNP
-
Rachel W Hamil, MD
-
Bennett P Hogan, M.D.
-
Vanessa Amore Jones, NP-C
-
Joseph J Kaplan, M.D.
-
Mana L Kasongo, MD
-
Mark Allen Lee, M.D.
-
Erik Little, P.A.
-
Ross Glenn Moorman III, M.D.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | Yes | ||
| Emergency Care Clinic/Center | 261QE0002X |
Addresses
Primary practice location
2501 N Patterson St
Valdosta, GA 31602
Mailing address
PO Box 402059
Atlanta, GA 30384-2059
Phone (229) 333-1000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 258338100 | Medicaid | FL | |
| 300033708A | Medicaid | GA | |
| 158191000 | Other | FECA US DEPT OF LABOR | |
| 5272824401 | Other | GA | BLUE CROSS BLUE SHIELD |
| 256338100 | Medicaid | FL |
Other providers in Valdosta, GA
- Haley Elliott
- Rueben Elliott
- Skyler Anne Elliott
- Elm Occupational Therapy Services LLC
- Ndiya Nkiru Emeaba
- Employment Matters, Inc
- Empowered Mind & Wellness
- Matthew Taylor Engel
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- John Oluwaseyi Erhabor
All providers in Valdosta, GA · Emergency Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 12, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.