Steven Alan Durocher, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

056051 Issued in GA

Practice address

1906 Railroad Street, Ste C
Statham Family Practice, PC
Statham, GA 30666

Phone

(678) 753-1122

Fax

(678) 753-0909

NPI assigned

Jul 26, 2005

Last updated

Oct 16, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gordon Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Calhoun, GA
  • NPI 1205290467
  Medicare reassignment NPD
• Hospital Physician Services - Southeast Professional Corporation

  • Hospitalist Physician
  • Monroe, GA
  • NPI 1760410385
  Medicare reassignment NPD
• Inphynet Primary Care Physicians Southeast PC

  • Emergency Medicine Physician
  • Columbus, GA
  • NPI 1770521460
  Medicare reassignment NPD
• Acs Primary Care Physicians - Southeast PC

  • Emergency Medicine Physician
  • Myrtle Beach, SC
  • NPI 1861430555

  GA

  Medicare reassignment NPD
• Zenia 2 LLC

  dba Sugarloaf Primary Care

  • Family Medicine Physician
  • Lawrenceville, GA
  • NPI 1043629942
  Medicare reassignment
• Statham Family Practice PC

  • Family Medicine Physician
  • Statham, GA
  • NPI 1689857195
  Authorized official Same address or phone
• Gordon Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Chatsworth, GA
  • NPI 1639621485
  NPD
• Covenant Emergency Physicians LLC

  • Emergency Medicine Physician
  • Demorest, GA
  • NPI 1194776914
  NPD (past)
• Worth Lake Emergency Physicians

  • Emergency Medicine Physician
  • Albany, GA
  • NPI 1114252459
  NPD (past)
• Emergency Coverage Services, PC

  • Nurse Practitioner
  • Lawrenceburg, TN
  • NPI 1053351593
  NPD (past)
• Emergency Coverage, LLC

  dba Emergency Coverage Corporation of TeamHealth

  • Family Medicine Physician
  • Newport, TN
  • NPI 1427005008

  Emergency Medicine

  NPD (past)

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539648000000",
    "number": "1962402461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORPORATE BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083870",
            "telephone_number": "800-893-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 RAILROAD STREET, STE C",
            "address_2": "STATHAM FAMILY PRACTICE, PC",
            "city": "STATHAM",
            "state": "GA",
            "postal_code": "30666",
            "telephone_number": "678-753-1122",
            "fax_number": "678-753-0909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1077 S Main St",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "GA",
            "postal_code": "306502073",
            "country_code": "US",
            "telephone_number": "706-342-1667",
            "fax_number": "706-342-2345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUROCHER",
        "first_name": "STEVEN",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-26",
        "last_updated": "2018-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "056051",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "056051",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "810703163A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "810703163I",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marianne Bevilacqua-Harding
• Shwanna Burton, ABD, MS, LPC
• Chelsea J Carroll
• Nicholas B Colvin, DDS
• Rebecca G. Crowe
• David R. Epps, PHARM.D.
• Robert Ervin Everett Jr., RPH
• Exousia Health Care LLC
• Matthew Fitzpatrick, PHARM.D
• Joseph Arthur Franco III, RN

• Emergency Medicine Physician in Statham, GA
• Providers in Statham, 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 Oct 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.