Lavonia Physician Services, LLC

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

Legal business name

LAVONIA PHYSICIAN SERVICES, LLC

Practice address

367 Clear Creek Pkwy
Lavonia, GA 30553-4173

Phone

(800) 893-9698

NPI assigned

Sep 23, 2015

Organization subpart

No

Name

Ryan Domengeaux

Title

General Council

Phone

(800) 893-9698

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William Cliff Schumacher, MD

  • Emergency Medicine Physician
  • Opelousas, LA
  • NPI 1356302004
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 23, 2015.

{
    "created_epoch": "1442966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442966400000",
    "number": "1992174692",
    "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": "367 CLEAR CREEK PKWY",
            "city": "LAVONIA",
            "state": "GA",
            "postal_code": "305534173",
            "telephone_number": "800-893-9698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAVONIA PHYSICIAN SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-23",
        "last_updated": "2015-09-23",
        "status": "A",
        "authorized_official_last_name": "DOMENGEAUX",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "GENERAL COUNCIL",
        "authorized_official_telephone_number": "800-893-9698"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "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": []
}

• Thomas D Jones, MD
• Victoria Lynn Jordan, FNP-C
• James A Joseph, CRNA
• Gordon M Kelly, MD
• Lavonia Emergency Group LLC
• Lighthouse Family Practice
• David C Martin, M.D.
• Jenson T Mathew, MD
• Medics of Northeast Georgia, Incorporated
• Albert B. Mercer, M.D.

• All providers in Lavonia, GA
• Hospitalist Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2015; 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.