MCRAE EMERGENCY SERVICES, LLC (NPI# 1467480400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467480400 |
| Entity Type | Organization |
| Organization Name | MCRAE EMERGENCY SERVICES, LLC |
| Practice Address |
Hwy 341 South Mcrae GA 31055 |
| Mailing Address |
Po Box 532911 Atlanta GA 30353-2911 |
| Practice Telephone | 9048051300 |
| Practice Fax Number | 9048051302 |
| Mailing Telephone | 9048051300 |
| Mailing Fax Number | 9048051302 |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | EUGENE DAUCHERT (PRESIDENT) |
| Authorized Official Telephone | 9048051300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians | ||
| X | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers | ||
| X | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | RAILROAD MEDICARE | DC8421 | 01 |
| GA | BCBS | 03635 | 01 |
| Street Address |
HWY 341 SOUTH |
| City | MCRAE |
| State | GA |
| Zip Code | 31055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831559152 | Little Creek Drug, LLC | Pharmacy | 112 W Oak St., Mc Rae, GA 31055 | 2016-02-29 |
| 1487022646 | Family Practice Healthcare Clinic/urgent Care Clinic, LLC | Clinic/Center | 10 North 3rd Avenue, Mcrae, GA 31055 | 2015-09-04 |
| 1912163973 | Lower Oconee Community Hospital | Clinic/Center | 280 E Willow Lane, Mcrae, GA 31055 | 2008-07-30 |
| 1912030008 | Community Service Board of Middle Georgia | Community/Behavioral Health | 410 Lakeside Drive, Mcrae, GA 31055 | 2007-03-14 |
| 1306984190 | Mcrae Emergency Physcians LLC | Emergency Medicine | Us 341 South, Emergency Department, Mcrae, GA 31055 | 2007-02-02 |
| 1245381193 | Kristi Renee Crabb | Physical Therapy Assistant | 113 East Oak Street, Mcrae, GA 31055 | 2007-01-16 |
| 1922178862 | Telfair County Board of Education | Local Education Agency (LEA) | 210 B East Parsonage St, Mcrae, GA 31055 | 2006-11-08 |
| 1528080397 | Telfair County Ems | Ambulance | 901 East Willow Creek Lane, Mcrae, GA 31055 | 2006-07-24 |
| 1669438560 | Smith's Pharmacy of Mcrae, L.L.C. | Pharmacy | 112 W Oak Street, Mc Rae, GA 31055 | 2006-04-21 |
| 1578531638 | Danny C Smith Jr. | Pharmacist | 112 W Oak St, Mcrae, GA 31055 | 2006-03-14 |
| Find all providers in zip 31055 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306984190 | Mcrae Emergency Physcians LLC | Emergency Medicine | Us 341 South, Emergency Department, Mcrae, GA 31055 | 2007-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081657 | Rtw Health Services LLC | Emergency Medicine | 1951 Lenox Rd Ne, Atlanta, GA 30306-3059 | 2020-10-21 |
| 1790396984 | Chisholm Trail Urgent Care Pllc | Emergency Medicine | 11 Tsys Way, Columbus, GA 31901 | 2020-08-12 |
| 1275141467 | Viral Solutions LLC | Emergency Medicine | 1752 Moonstone Ct, Decatur, GA 30033-1411 | 2020-07-14 |
| 1376102830 | John Edward Cooke | Emergency Medicine | 2411 Tuxedo Ln Nw, Marietta, GA 30064-1898 | 2019-06-10 |
| 1538646526 | Edwige Goby Konwo-tayo | Emergency Medicine | 1183 S Hairston Rd Ste A, Stone Mountain, GA 30088-2796 | 2018-07-23 |
| 1548763899 | South Georgia Er Services, LLC | Emergency Medicine | 313 Carrick Way, Macon, GA 31210-4952 | 2018-03-13 |
| 1922517945 | Infinity Wellness Solutions LLC | Emergency Medicine | 3240 Pointe Parkway, Suite 100, Norcross, GA 30092 | 2017-09-21 |
| 1528594314 | Kendra Chantelle Krieg | Emergency Medicine | 185 Anniversary Ln, Acworth, GA 30102 | 2017-05-11 |
| 1114450806 | Peyton Jones Syed | Emergency Medicine | 13765 Brittle Rd, Alpharetta, GA 30004-3592 | 2017-04-10 |
| 1437690658 | Miles Anthony Medina | Emergency Medicine | 1133 Eagles Landing Pkwy # Er, Stockbridge, GA 30281-5085 | 2017-03-20 |
| 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.