Georgia Emergency Associates
Organization Active NPI Emergency Medicine Physician · Rincon, GA
NPI 1528098290 · NPPES record last updated Nov 6, 2025
Key facts
- NPI
- 1528098290
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- GEORGIA EMERGENCY ASSOCIATES
- Practice address
- 5629 Hwy. 21 South
Rincon, GA 31326-9416 - Phone
- (912) 295-2133
- Fax
- (912) 428-5055
- NPI assigned
- Jul 5, 2006
- Organization subpart
- No
Authorized official
- Name
- Angela M. Casper
- Title
- Office Manager
- Phone
- (912) 295-2133
Practitioners 181
-
Andrew Donovan, M.D.
-
James R Gill, M.D.
-
Jeffrey R Kenney, MD
-
Matt J Perala, MD
-
Tristan Lawrence Sevdy, M.D.
-
Carlene Williams, MD
-
Spencer A Adoff, MD
-
Joshua Philip Brune, PA-S
-
Andrew John Krieger, M.D.
-
Tyler Tantisook, MD
-
Alexander Angelidis, D.O.
-
Joshua J. Barker, M.D.
-
Kyle Bedenbaugh, MD
-
Willie R Bowers, MD
-
Kenneth J Canzon, PA
-
Janet M Coffey, MD
-
Mark F Coffey, M.D.
-
Hunter A. Faircloth, M.D.
-
David B Greenfield, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031201000427 | GA | Part B Supplier - Clinic/Group Practice | 1052216389 |
Receives reassigned benefits from 79 practitioners Practice locations: Savannah, GA; St Marys, GA; Statesboro, GA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | Yes |
Addresses
Primary practice location
5629 Hwy. 21 South
Rincon, GA 31326-9416
Mailing address
5629 Hwy. 21 South
Rincon, GA 31326-9416
Phone (912) 295-2133
Other practice location 1
1499 Fair Rd
Statesboro, GA 30458-1683
Phone (912) 295-2133 ext. 1
Other practice location 2
11705 Mercy Blvd
Savannah, GA 31419-1711
Phone (912) 295-2133 ext. 1
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CA1069 | Other | GA | RRB MEDICARE |
Other providers in Rincon, GA
- Sarah Brodhead Freeman
- Jennifer Fuqua
- Laura Gash
- Sarai M George
- Georgia CVS Pharmacy LLC
- Georgia Eye Institute of the Southeast, LLC
- Georgia Eye Institute, Inc.
- Teneka Nadia Gerido
- James R Gill
- Kristal Gill
All providers in Rincon, GA · Emergency Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 6, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.