Sean Eugene Arbuckle Sr., D.O.
Individual provider Active NPI Emergency Medicine Physician · Augusta, GA
NPI 1649477993 · NPPES record last updated Jul 30, 2024
Key facts
- NPI
- 1649477993
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 061550 (GA)
- Practice address
- 1120 15TH St
Augusta, GA 30912-0004 - Phone
- (706) 721-3052
- NPI assigned
- Jun 29, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 13
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- South Georgia Emergency Medicine Associates PC
Practice addresses (Care Compare)
2501 N Patterson St
Valdosta, GA 31602-1735
Phone (229) 433-1000
Hospital & facility affiliations
- Ascension Sacred Heart Bay
- HCA Florida Capital Hospital
- HCA Florida Gulf Coast Hospital
- SGMC Health
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.3 of 100
- Quality
- 70.94
- Improvement activities
- 40
- Cost
- 92.94
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in GA, FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090306000378 | GA | Practitioner - Emergency Medicine | 0840356374 | Reassigns benefits to 1 organization |
| I20110419000751 | FL | Practitioner - Emergency Medicine | 0840356374 | Reassigns benefits to 6 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS11132 | FL | MD | Emergency Medicine Physician |
| 061550 | GA | MD | Emergency Medicine Physician |
| 2011033192 | MO | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Services of FL, LLC | Emergency Medicine | Current |
Accepting new patients |
| Lake Oliver Emergency Group, LLC | Emergency Medicine | Current |
Accepting new patients |
| Cep America LLC | Emergency Medicine | Current |
Accepting new patients |
| Lake Oliver Emergency Group, LLC | Emergency Medicine | Current | Accepting new patients |
| Cep America LLC | Emergency Medicine | Current |
Accepting new patients |
| Lake Oliver Emergency Group, LLC | Emergency Medicine | Current |
Accepting new patients |
| Cep America, LLC | Emergency Medicine | Current | Accepting new patients |
| Floridian Emergency Specialists LLC | Emergency Medicine | Current | Accepting new patients |
| Darling Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
| Florida Em-I Medical Services, PA | Emergency Medicine | Past | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858
14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929
340 NW Commerce Dr
Lake City, FL 32055
Phone (386) 719-9000
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
7800 US Highway 98 W
Miramar Beach, FL 32550
Phone (850) 267-1603
615 N Bonita Ave
Panama City, FL 32401
Phone (850) 747-2020
5151 N 9th Ave
Pensacola, FL 32504
Phone (850) 202-4700
105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953
1800 SE Tiffany Ave
Port St Lucie, FL 34952
Phone (772) 398-1969
23186 Blue Star Hwy
Quincy, FL 32351
Phone (850) 875-5977
2626 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 325-5000
13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 061550 | GA | Yes |
| Emergency Medicine Physician | 207P00000X | OS11132 | FL | |
| Emergency Medicine Physician | 207P00000X | 2011033192 | MO |
Addresses
Primary practice location
1120 15TH St
Augusta, GA 30912-0004
Mailing address
546 Grandiflora Cir.
Aiken, SC 29803
Phone (803) 439-8592
Other providers in Augusta, GA
- Ara-Augusta Clinic LLC
- Ara-South Augusta Clinic LLC
- Anjum Ara
- Julio Mario Araque
- Belachew Arasho
- Kimberly Collins Archer
- Shirlence Lekia Archer
- Adam Trent Archie
- Michael Ardrey
- John G Arena
All providers in Augusta, 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 Jul 30, 2024. 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.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.