Active NPI
Dougherty Emergency Group, LLC
- Emergency Medicine Physician
- Albany, GA
National Provider Identifier
1972884708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- DOUGHERTY EMERGENCY GROUP, LLC
- Practice address
- 417 W 3Rd Ave
Albany, GA 31701-1943 - Phone
- (229) 312-1000
- NPI assigned
- Sep 7, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William C Schumacher, MD
- Title
- Ceo
- Phone
- (800) 893-9698
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary | ||
| Physician Assistant | 363A00000X | |||
| Nurse Practitioner | 363L00000X |
Addresses
Primary practice location
417 W 3Rd Ave
Albany, GA 31701-1943
Mailing address
200 Corporate Blvd
Suite 201
Lafayette, LA 70508-3870
Phone (800) 893-9698
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315353600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1315353600000",
"number": "1972884708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 CORPORATE BLVD",
"address_2": "SUITE 201",
"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": "417 W 3RD AVE",
"city": "ALBANY",
"state": "GA",
"postal_code": "317011943",
"telephone_number": "229-312-1000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOUGHERTY EMERGENCY GROUP, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-09-07",
"last_updated": "2011-09-07",
"status": "A",
"authorized_official_last_name": "SCHUMACHER",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "800-893-9698",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albany, GA
- Dougherty County Board of Health
- Dougherty County Board of Health
- Dougherty County Commissioner of Roads & Revenues
- Dougherty County Community Coalition, Inc
- Dougherty County School System
- Portia R. Douglas
- Amanda Dowdell
- Russell Warren Dowdy, PA-C
- Glenn Aaron Dowling
- Dr. Coretta D. Gervin Healthcare
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.