Active NPI
SMD EMS Group LLC
- Emergency Medicine Physician
- Madison, FL
National Provider Identifier
1376428763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- SMD EMS GROUP LLC
- Practice address
- 224 NW Crane Ave
Madison, FL 32340-1400 - Phone
- (229) 236-0831
- Fax
- (229) 236-0871
- NPI assigned
- Aug 6, 2025
- 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) 238-0831
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary |
Addresses
Primary practice location
224 NW Crane Ave
Madison, FL 32340-1400
Mailing address
100 S Madison St
Thomasville, GA 31792-5473
Phone (229) 236-0831
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260206002837 | FL | Part B Supplier - Clinic/Group Practice | 8224517511 |
Receives reassigned benefits from 15 practitioners Practice locations: Madison, FL |
National Provider Directory
National Provider DirectoryLocations
100 S Madison St
Thomasville, GA 31792
Phone (229) 221-9552
Practitioners & affiliated clinicians
Practitioners 15
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Emergency Medicine Physician
- Atlantic Beach, FL
- NPI 1518077569
Emergency Medicine, FL
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754438400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1754438400000",
"number": "1376428763",
"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": "224 NW CRANE AVE",
"city": "MADISON",
"state": "FL",
"postal_code": "323401400",
"telephone_number": "229-236-0831",
"fax_number": "229-236-0871"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SMD EMS GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-08-06",
"last_updated": "2025-08-06",
"certification_date": "2025-08-06",
"status": "A",
"authorized_official_last_name": "FLETCHER",
"authorized_official_first_name": "STEPHANIE",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "229-238-0831"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; 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.