SOUTHLAND EMERGENCY MEDICAL SERVICES CONSOLIDATED, LLC (NPI# 1033464391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033464391 |
| Entity Type | Organization |
| Organization Name | SOUTHLAND EMERGENCY MEDICAL SERVICES CONSOLIDATED, LLC |
| Practice Address |
145 E Peacock St Cochran GA 31014-7846 |
| Mailing Address |
Po Box 102545 Atlanta GA 30368-2545 |
| Practice Telephone | 4789346211 |
| Enumeration Date | 2012-07-23 |
| Last Update Date | 2019-05-28 |
| Authorized Official Name | STEPHANIE FLETCHER (CFO) |
| Authorized Official Telephone | 2922360831 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1221 E Mcpherson Ave, Nashville, GA 316392326 | 2295437100 |
| Street Address |
145 E PEACOCK ST |
| City | COCHRAN |
| State | GA |
| Zip Code | 31014-7846 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578637526 | Bleckley County Hospital | General Acute Care Hospital | 145 E Peacock St, Cochran, GA 31014-7846 | 2006-11-20 |
| 1053950212 | Kari Coody | Pharmacist | 145 E Peacock St, Cochran, GA 31014-7846 | 2020-01-04 |
| 1669909008 | Georgia Em-i Medical Service PC | Physician Assistant | 145 E Peacock St, Cochran, GA 31014-7846 | 2017-05-16 |
| 1972030799 | Middle Georgia Inpatient Services LLC | Physician Assistant | 145 E Peacock St, Cochran, GA 31014-7846 | 2017-05-11 |
| 1952835530 | Oconee River Emergency Physicians LLC | Emergency Medicine | 145 E Peacock St, Cochran, GA 31014-7846 | 2017-04-20 |
| 1235471491 | Tammy Wade Moon | Physical Therapist | 145 E Peacock St, Cochran, GA 31014-7846 | 2013-03-26 |
| 1679824981 | Taylor Regional Hospital | Orthopaedic Surgery | 145 E Peacock St, Suite 1, Cochran, GA 31014-7846 | 2012-09-26 |
| 1255680062 | Taylor Regional Hospital | Durable Medical Equipment & Medical Supplies | 145 E Peacock St, Suite 4, Cochran, GA 31014-7846 | 2012-09-07 |
| 1891969291 | Sandra H. Gibbs, M.d. | Family Medicine | 145 E Peacock St, Suite #3, Cochran, GA 31014-7846 | 2008-04-16 |
| 1245383611 | Sandra H. Gibbs | Family Medicine | 145 E Peacock St, Suite #3, Cochran, GA 31014-7846 | 2007-01-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265830186 | Bryant Nursing Center | Skilled Nursing Facility | 601 Se 6th Street, Cochran, GA 31014 | 2014-12-09 |
| 1205241395 | Southland Cochran Emergency Medical Services, LLC | Emergency Medicine | 145 Peacock St., Cocharan, GA 31014 | 2014-06-26 |
| 1952551541 | Dr Dudley B Christie Jr | Optometrist | 145 Second St, Cochran, GA 31014 | 2008-09-19 |
| 1568670487 | David Herrington Stewart | Physical Therapist | 136 West Dykes Street, Cochran, GA 31014 | 2007-05-21 |
| 1649485137 | Jennifer C. Dennis | Occupational Therapy Assistant | Rt. 3 Box 2110 Country Club Rd., Cochran, GA 31014 | 2007-05-10 |
| 1013056571 | Chad Eric Smith | Speech-Language Pathologist | 1125 Ga Hwy 126, Cochran, GA 31014 | 2007-02-05 |
| 1851444103 | Covenant Chiropractic Center PC | Chiropractor | 169 W Dykes Street, Cochran, GA 31014 | 2007-01-19 |
| 1033273081 | Porter Pharmacy & Gifts, Inc. | Pharmacy | 129 N. 2nd Street, Cochran, GA 31014 | 2006-12-21 |
| 1710040951 | Nikki Dubois | Speech-Language Pathologist | 165 Race Track Dr., Cochran, GA 31014 | 2006-12-19 |
| 1033270194 | Debbie Martin | Nurse Practitioner | 152 N. 8th Street, Cochran, GA 31014 | 2006-12-13 |
| Find all providers in zip 31014 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033770771 | Your Hospitalist Team LLC | Hospitalist | 2215 Autumn Ridge Ln, Cumming, GA 30041-1358 | 2019-06-24 |
| 1780194183 | Mobin Shah Inc | Hospitalist | 352 Langshire Dr, Mcdonough, GA 30253-8055 | 2017-10-11 |
| 1972036721 | Getnet Alemu Tioum | Hospitalist | 1267 Pounds Ln, Clarkston, GA 30021-2830 | 2017-04-08 |
| 1720531692 | Zahraa Rabeeah | Hospitalist | 390 17th St Nw Unit 5031, Atlanta, GA 30363-2015 | 2016-07-27 |
| 1245614973 | Donovan Philbrick | Hospitalist | 743 Spring Street, Office of Inpatient Medicine, Gainesville, GA 30501 | 2015-07-13 |
| 1932529732 | Munir Chaudhuri | Hospitalist | 1364 Clifton Road Ne Box M7, Atlanta, GA 30322-1029 | 2014-04-18 |
| 1982979373 | Rianot Amzat | Hospitalist | 5665 Peachtree Dunwoody # Ga, Suite 500, Atlanta, GA 30342-1701 | 2012-03-19 |
| 1780970921 | Christopher Thomas Middendorf | Hospitalist | 1400 River Place, Braselton, GA 30517 | 2011-06-27 |
| 1043528268 | Medcare Physicians of Central Georgia, LLC | Hospitalist | 1040 Founders Row, Ste A, Greensboro, GA 30642-5261 | 2010-09-22 |
| 1619293354 | Aaron D Gluth | Hospitalist | 1364 Clifton Rd Ne Box M-7, Atlanta, GA 30322-1059 | 2010-04-19 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.