Active NPI
Georgia Em-I Medical Services, PC
- Emergency Medicine Physician
- Smyrna, GA
National Provider Identifier
1356399679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- GEORGIA EM-I MEDICAL SERVICES, PC
- Practice address
- 3949 S Cobb Dr SE
Smyrna, GA 30080-6342 - Phone
- (770) 438-5222
- Fax
- (770) 434-5123
- NPI assigned
- May 5, 2006
- 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
- Dr. Gregory Byrne, M.D.
- Title
- President
- Phone
- (214) 712-2000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary |
Addresses
Primary practice location
3949 S Cobb Dr SE
Smyrna, GA 30080-6342
Mailing address
PO Box 8750
Philadelphia, PA 19101-8750
Phone (800) 507-8874
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031218000621 | GA | Part B Supplier - Clinic/Group Practice | 0446157218 |
Receives reassigned benefits from 147 practitioners 20 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Bremen, GA; Covington, GA |
Other NPIs on the same Medicare enrollment 20
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Emergency Medicine Physician
- Covington, GA
- NPI 1407259500
O20031218000621
-
- Emergency Medicine Physician
- Riverdale, GA
- NPI 1639796212
O20031218000621
-
- Emergency Medicine Physician
- Cartersville, GA
- NPI 1407133622
O20031218000621
-
- Emergency Medicine Physician
- Augusta, GA
- NPI 1952743650
O20031218000621
-
- Emergency Medicine Physician
- Fayetteville, GA
- NPI 1730585548
O20031218000621
-
- Emergency Medicine Physician
- Covington, GA
- NPI 1780080192
O20031218000621
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1206316800000",
"number": "1356399679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8750",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191018750",
"telephone_number": "800-507-8874",
"fax_number": "727-507-3618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3949 S COBB DR SE",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300806342",
"telephone_number": "770-438-5222",
"fax_number": "770-434-5123"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GEORGIA EM-I MEDICAL SERVICES, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-05",
"last_updated": "2008-03-24",
"status": "A",
"authorized_official_last_name": "BYRNE",
"authorized_official_first_name": "GREGORY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "214-712-2000",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Smyrna, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.