Individual provider Active NPI

Claud Fru Bugheni, MD

  • Emergency Medicine Physician
  • Evans, GA
National Provider Identifier
1740966217
Registry record updated Jun 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
15324 Issued in GA
Practice address
5121 Washington Rd
Ste 2 PMB 105
Evans, GA 30809
Phone
(708) 666-9298
NPI assigned
Jun 27, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 15324 GA Primary

Addresses

Primary practice location

5121 Washington Rd
Ste 2 PMB 105
Evans, GA 30809

Mailing address

5121 Washington Rd
Ste 2 PMB 105
Evans, GA 30809

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241209000623 GA Practitioner - Emergency Medicine 6608236948 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Medical College of Georgia School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southland Consolidated Emergency Services LLCGroup PAC ID 2860792066, 68 clinicians

Practice addresses (Care Compare)

610 Sparta Rd
Sandersville, GA 31082-1860
Phone (478) 240-2000

Hospital & facility affiliations

  • Washington County Regional Medical Center Hospital, Sandersville, GA, CCN 110086

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Southland Consolidated Emergency Services, LLC Emergency Medicine CurrentSince Oct 2, 2024 Accepting new patients

Locations

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

610 Sparta Rd
Sandersville, GA 31082
Phone (478) 240-2000

Organizations & group practices 2

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 2

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": "1687824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781827200000",
    "number": "1740966217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5121 WASHINGTON RD",
            "address_2": "STE 2 PMB 105",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "30809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5121 WASHINGTON RD",
            "address_2": "STE 2 PMB 105",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "30809",
            "telephone_number": "708-666-9298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUGHENI",
        "first_name": "CLAUD",
        "middle_name": "FRU",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-27",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "15324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evans, GA

Sources for this page

Verify at the official NPI Registry.