Individual provider Active NPI

Brian Scott McLaughlin

  • Family Nurse Practitioner
  • Cairo, GA
National Provider Identifier
1396221313
Registry record updated Jul 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN162160 Issued in GA
Practice address
1180 5TH St SE
Cairo, GA 39828-3141
Phone
(229) 377-2002
NPI assigned
Jul 12, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN162160 GA Primary

Addresses

Primary practice location

1180 5TH St SE
Cairo, GA 39828-3141

Mailing address

1180 5TH St SE
Cairo, GA 39828-3141
Phone (229) 377-2002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180828000610 GA Practitioner - Nurse Practitioner 6608125448 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southland Emergency Medical Services LLCGroup PAC ID 3779701743, 24 clinicians

Practice addresses (Care Compare)

1155 5TH St SE
Cairo, GA 39828-3142
Phone (229) 200-4950

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN162160GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southland Consolidated Emergency Services, LLC CurrentSince Mar 19, 2020 Accepting new patients
Southland Emergency Medical Services, L.L.C CurrentSince Oct 6, 2023 Accepting new patients
Southland Bainbridge Hospitalist Group, LLC CurrentSince Oct 6, 2023 Accepting new patients
Cairo Medical Care, LLC CurrentSince Jul 7, 2018 Accepting new patients
South Georgia Emergency Medicine Associates PC CurrentSince May 1, 2022 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

1500 E Shotwell St
Bainbridge, GA 39819
Phone (229) 243-6100

1178 5th St SE
Cairo, GA 39828
Phone (229) 377-2002

1180 5th St SE
Cairo, GA 39828
Phone (229) 377-2002

1155 5th St SE
Cairo, GA 39828
Phone (229) 226-3060

90 E Stephens St
Camilla, GA 31730
Phone (229) 200-4950

4 Medical Dr
Elberton, GA 30635
Phone (706) 213-2527

2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139

Organizations & group practices 7

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 1

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": "1531353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531353600000",
    "number": "1396221313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 5TH ST SE",
            "city": "CAIRO",
            "state": "GA",
            "postal_code": "398283141",
            "telephone_number": "229-377-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 5TH ST SE",
            "city": "CAIRO",
            "state": "GA",
            "postal_code": "398283141",
            "telephone_number": "229-377-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLAUGHLIN",
        "first_name": "BRIAN",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-12",
        "last_updated": "2018-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN162160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cairo, GA

Sources for this page

Verify at the official NPI Registry.