Southern Emergency Physicians, LLP

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

SOUTHERN EMERGENCY PHYSICIANS, LLP

Practice address

901 Griffin Ave
Eastman, GA 31023-6720

Phone

(866) 916-5259

Fax

(231) 922-4030

NPI assigned

Dec 13, 2013

Last updated

Dec 13, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Derik K KingNPI 1376560912

Title

LLP Managing Partners

Phone

(866) 916-5259

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Derik K King, M.D., FACEP

  • Emergency Medicine Physician
  • Richmond, VA
  • NPI 1376560912
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1386892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386892800000",
    "number": "1689095812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 REMIT DR",
            "address_2": "SUITE 1209",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606751209",
            "telephone_number": "866-916-5259",
            "fax_number": "231-922-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 GRIFFIN AVE",
            "city": "EASTMAN",
            "state": "GA",
            "postal_code": "310236720",
            "telephone_number": "866-916-5259",
            "fax_number": "231-922-4030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN EMERGENCY PHYSICIANS, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-13",
        "last_updated": "2013-12-13",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "DERIK",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "LLP MANAGING PARTNERS",
        "authorized_official_telephone_number": "866-916-5259"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• H. Wayne Smith, D.D.S.
• Nicole Smith, NP
• Southeast Georgia Treatment Center
• Southeastern Hospitalist Physicians, LLP
• Brandi Southerland, RD, LD
• Southern Family Healthcare of Eastman Inc
• Southern Home Care Services, Inc.
• Southern Home Care Services, Inc. (ResCare HomeCare)
• Southern Home Care Services, Inc. (ResCare HomeCare)
• Southern Home Care Services, Inc.

• Emergency Medicine Physician in Eastman, GA
• Providers in Eastman, GA by specialty
• Emergency Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.