NPIMap

Individual provider Active NPI

Larry Alan Medley

  • Emergency Medicine Physician
  • Albany, GA
National Provider Identifier
1285879536
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
73584 Issued in GA
Practice address
417 W 3Rd Ave
Albany, GA 31701-1943
Phone
(229) 312-1000
NPI assigned
Dec 15, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X 73584 GA Primary

Addresses

Primary practice location

417 W 3Rd Ave
Albany, GA 31701-1943

Mailing address

229 Laurel LN
Lizella, GA 31052-3749
Phone (478) 935-9953

Other practice location 1

229 Laurel Ln
Lizella, GA 31052-3749
Phone (478) 935-9953

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
I20150728004534 GA Practitioner - Emergency Medicine 9133341506 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Mercer University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoebe Worth Medical Center, IncGroup PAC ID 0840104527, 11 clinicians

Practice addresses (Care Compare)

807 S Isabella St
Sylvester, GA 31791-7554
Phone (229) 776-6961

Hospital & facility affiliations

  • Phoebe Home Health Home health agency, Albany, GA, CCN 117100
  • Phoebe Worth Medical Center Hospital, Sylvester, GA, CCN 111328
  • Phoebe Worth Medical Center Nursing home, CCN 11Z328

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
73584GAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Phoebe Putney Memorial Hospital Inc CurrentSince Jun 1, 2015 Accepting new patients
Phoebe Worth Medical Center, Inc Single Specialty CurrentSince Dec 1, 2022 Accepting new patients
Phoebe Putney Memorial Hospital Inc Single Specialty Current Accepting new patients
Phoebe Cancer Center Surgical Oncology Single Specialty CurrentSince Jun 1, 2015 Accepting new patients
Central Georgia Emergency Group, LLC Single Specialty CurrentSince Jan 13, 2018 Accepting new patients
Phoebe Sumter Medical Center, Inc. Single Specialty CurrentSince Jul 1, 2023 Accepting new patients
Phoebe Worth Medical Center, Inc CurrentSince Dec 1, 2022 Accepting new patients
Phoebe Sumter Medical Center, Inc CurrentSince Jul 1, 2023 Accepting new patients

Locations

417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207

2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802

126 US Highway 280 W
Americus, GA 31719
Phone (229) 924-6011

777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600

807 S Isabella St
Sylvester, GA 31791
Phone (229) 777-3851

1014 W Franklin St
Sylvester, GA 31791
Phone (229) 776-2965

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/8478/brand/1/csg/1/fhir/r4

Organizations & group practices 8

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

Hospital & facility affiliations 3

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": "1229299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1285879536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 LAUREL LN",
            "city": "LIZELLA",
            "state": "GA",
            "postal_code": "310523749",
            "telephone_number": "478-935-9953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 W 3RD AVE",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317011943",
            "telephone_number": "229-312-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "229 Laurel Ln",
            "address_purpose": "LOCATION",
            "city": "Lizella",
            "state": "GA",
            "postal_code": "310523749",
            "country_code": "US",
            "telephone_number": "478-935-9953",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDLEY",
        "first_name": "LARRY",
        "middle_name": "ALAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-15",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "73584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, GA

Sources for this page

Verify at the official NPI Registry.