Active NPI
Southland Stephens Emergency Medical Services, LLC
- Emergency Medicine Physician
- Toccoa, GA
National Provider Identifier
1205342367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- SOUTHLAND STEPHENS EMERGENCY MEDICAL SERVICES, LLC
- Practice address
- 163 Hospital Dr
Toccoa, GA 30577-6820 - Phone
- (706) 282-4200
- NPI assigned
- Dec 26, 2017
- Last updated
- Dec 26, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephanie Fletcher
- Title
- Cfo
- Phone
- (229) 236-0831
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary |
Addresses
Primary practice location
163 Hospital Dr
Toccoa, GA 30577-6820
Mailing address
100 S Madison St
Thomasville, GA 31792-5473
Phone (229) 236-0831
National Provider Directory
National Provider DirectoryLocations
610 W Due West Ave
Ste 321
Madison, TN 37115
Phone (615) 860-1717
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Diagnostic Radiology Physician
- Stanford, CA
- NPI 1144584996
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514246400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1514246400000",
"number": "1205342367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 S MADISON ST",
"city": "THOMASVILLE",
"state": "GA",
"postal_code": "317925473",
"telephone_number": "229-236-0831",
"fax_number": "229-236-0871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "163 HOSPITAL DR",
"city": "TOCCOA",
"state": "GA",
"postal_code": "305776820",
"telephone_number": "706-282-4200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHLAND STEPHENS EMERGENCY MEDICAL SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-12-26",
"last_updated": "2017-12-26",
"status": "A",
"authorized_official_last_name": "FLETCHER",
"authorized_official_first_name": "STEPHANIE",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "229-236-0831"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Toccoa, GA
- Southeastern Medical Specialists, LLC
- Southern Home Care
- Southern Home Care Services, Inc. (All Ways Caring HomeCare)
- Southern Home Care Services, Inc. (ResCare HomeCare)
- Southern Home Care Services, Inc. (ResCare HomeCare)
- Southland Stephens Hospitalist Group, LLC
- Tommy H Spinks, ATC/LAT
- Steven G Spruill, R.PH
- Matthew Paul St. George, DDS
- Star Coach Performance,LLC (Medi-Cab Transportation)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 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.