GEORGIA EM-I MEDICAL SERVICE PC (NPI# 1669909008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669909008 |
| Entity Type | Organization |
| Organization Name | GEORGIA EM-I MEDICAL SERVICE PC |
| Practice Address |
145 E Peacock St Cochran GA 31014-7846 |
| Mailing Address |
13737 Noel Rd Ste 1600 Dallas TX 75240-1374 |
| Practice Telephone | 4694012386 |
| Mailing Telephone | 4694012386 |
| Enumeration Date | 2017-05-16 |
| Last Update Date | 2017-05-16 |
| Authorized Official Name | GREGORY J BYRNE (OFFICER) |
| Authorized Official Telephone | 4694012386 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639796212 | Georgia Em-i Medical Service PC | Physician Assistant | 11 Upper Riverdale Rd Sw, Riverdale, GA 30274-2615 | 2020-06-30 |
| 1912434358 | Georgia Em-i Medical Service PC | Nurse Practitioner | 222 Perry Hwy, Hawkinsville, GA 31036-6748 | 2017-05-16 |
| 1184990202 | Georgia Em-i Medical Service PC | Emergency Medicine | 1700 Medical Way, Snellville, GA 30078-2195 | 2012-03-23 |
| 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 |
| 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 |
| 1033464391 | Southland Emergency Medical Services Consolidated, LLC | Family Medicine | 145 E Peacock St, Cochran, GA 31014-7846 | 2012-07-23 |
| 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 | 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 |
|---|---|---|---|---|
| 1952461154 | Brian K. Strickman-levitas | Emergency Medicine | 408 Peacock St, Cochran, GA 31014-1559 | 2006-12-11 |
| 1952835530 | Oconee River Emergency Physicians LLC | Emergency Medicine | 145 E Peacock St, Cochran, GA 31014-7846 | 2017-04-20 |
| 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 | ||||
Please comment or provide details below to improve the information on GEORGIA EM-I MEDICAL SERVICE PC.
| 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.