Ermds LLC

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

ERMDS LLC

Doing business as

ERMDS @ Mountain Lakes Medical Center

Practice address

196 Ridgecrest Cir
Clayton, GA 30525-4111

Phone

(334) 386-0378

NPI assigned

Jun 7, 2012

Last updated

Jun 7, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

ERMDS LLCAs reported in NPPES

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

Authorized official

Name

Vicki F Lawrenson

Title

Coo

Phone

(334) 386-0343

Specialties & licenses 1

Addresses

Other names 1

• ERMDS @ Mountain Lakes Medical Center Doing business as

Tax ID family

Ermds LLC3 organizations share this tax ID, including this one

Part of

Ermds LLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Ermds LLC

  dba ERMDS @ Crenshaw Community Hospital

  • Emergency Medicine Physician
  • Luverne, AL
  • NPI 1871854612
  NPD tax ID
• Ermds, LLC

  dba ERMDS @ Bullock County Hospital

  • Emergency Medicine Physician
  • Union Springs, AL
  • NPI 1790046530
  NPD tax ID

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

{
    "created_epoch": "1339027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339027200000",
    "number": "1306107149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5013",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361035013",
            "telephone_number": "334-386-0343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 RIDGECREST CIR",
            "city": "CLAYTON",
            "state": "GA",
            "postal_code": "305254111",
            "telephone_number": "334-386-0378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERMDS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ERMDS LLC",
        "enumeration_date": "2012-06-07",
        "last_updated": "2012-06-07",
        "status": "A",
        "authorized_official_last_name": "LAWRENSON",
        "authorized_official_first_name": "VICKI",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "334-386-0343"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ERMDS @ Mountain Lakes Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Emergency Medicine Physician in Clayton, GA
• Providers in Clayton, 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 Jun 7, 2012; 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.