TATTNALL EMERGENCY PHYSICIANS, LLC (NPI# 1679520217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679520217 |
| Entity Type | Organization |
| Organization Name | TATTNALL EMERGENCY PHYSICIANS, LLC |
| Practice Address |
247 S Main St Emergency Department Reidsville GA 30453-4605 |
| Mailing Address |
861 Sw 78th Ave Emergency Department Plantation FL 33324-3229 |
| Practice Telephone | 9125571000 |
| Practice Fax Number | 9125574597 |
| Mailing Telephone | 9546930000 |
| Mailing Fax Number | 9546930005 |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. DAVID SCOTT SCHILLINGER (MANAGING MEMBER) |
| Authorized Official Telephone | 8008158377 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
247 S MAIN ST EMERGENCY DEPARTMENT |
| City | REIDSVILLE |
| State | GA |
| Zip Code | 30453-4605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558979591 | Vincent John R Busante | Occupational Therapist | 247 S Main St, Reidsville, GA 30453-4605 | 2020-07-15 |
| 1659922722 | Carol Ann Alexander | Nurse Practitioner | 247 S Main St, Reidsville, GA 30453-4605 | 2019-09-20 |
| 1295151975 | Ashley Nicole Vaughan | Occupational Therapist | 247 S Main St, Reidsville, GA 30453-4605 | 2014-03-05 |
| 1962748368 | Mark Spivey Orthopedic Clinic LLC | Orthopaedic Surgery | 247 S Main St, Reidsville, GA 30453-4605 | 2012-12-13 |
| 1114261047 | Clayborne Fulchi | Nurse Anesthetist, Certified Registered | 247 S Main St, Reidsville, GA 30453-4605 | 2012-11-15 |
| 1932489481 | Natalie Pippin Britt | Emergency Medicine | 247 S Main St, Reidsville, GA 30453 | 2011-08-27 |
| 1144550716 | Chasity Carter Mcneal | Occupational Therapist | 247 S Main St, Reidsville, GA 30453-4605 | 2010-01-05 |
| 1740440932 | Tattnall Hospital Company LLC | Medicare Defined Swing Bed Unit | 247 S Main St, Reidsville, GA 30453-4605 | 2008-06-11 |
| 1790942381 | Tattnall Hospital Company, LLC | General Acute Care Hospital | 247 S Main St, Reidsville, GA 30453-4605 | 2008-05-21 |
| 1487821674 | The Tattnall Bank | General Acute Care Hospital | 247 S Main St, Reidsville, GA 30453-4605 | 2008-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659990869 | Katrina A Toler | Specialist/Technologist, Other | Optim Medical Center - Tattnall, 247 S Main Street, Reidsville, GA 30453 | 2020-04-09 |
| 1548750110 | Benjamin Addril Clark | Pharmacist | Se Regional Pharmacy Attn: Ben Clark, 300 First Avenue South, Reidsville, GA 30453 | 2018-05-18 |
| 1770824351 | Elite Care Dme,llc | Durable Medical Equipment & Medical Supplies | 123 S. Main St., Reidsville, GA 30453 | 2013-03-07 |
| 1003154766 | Rebekah Hollis Parker | Occupational Therapist | 247 A South Main Street, Reidsville, GA 30453 | 2013-01-30 |
| 1629359419 | D. Wilson Inc. | Durable Medical Equipment & Medical Supplies | 121 South Main Street Unit A, Reidsville, GA 30453 | 2011-09-07 |
| 1417278029 | Tattnall Community Ems | Ambulance | 194 John O Parker Dr., Reidsville, GA 30453 | 2010-06-17 |
| 1518122563 | Brenda Marie Black | Licensed Practical Nurse | 150 Memorial Drive, 150 Memorial Drive, Reidsville, GA 30453 | 2008-07-18 |
| 1063694404 | Ihori Kameyama | Counselor | 150 Memorial Dr., Reidsville, GA 30453 | 2007-11-28 |
| 1710947403 | Donald Franklin Kennedy Jr. | Specialist | 131 Memorial Drive, Reidsville, GA 30453 | 2006-03-25 |
| 1801438676 | Olive Care Durable Medical & Supplies, LLC. | Durable Medical Equipment & Medical Supplies | 123 S. Main St., Reidsville, GA 30453 | 2019-10-14 |
| Find all providers in zip 30453 | ||||
| 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 |
|---|---|---|---|---|
| 1083781207 | Margaret M Bowen | Emergency Medicine | 1415 Freeway Dr, Reidsville, NC 27320-7105 | 2006-11-30 |
| 1932489481 | Natalie Pippin Britt | Emergency Medicine | 247 S Main St, Reidsville, GA 30453 | 2011-08-27 |
| 1497953822 | Gordonia Emergency Physicians | Emergency Medicine | 247 S Main St, Reidsville, GA 30453-4605 | 2007-07-06 |
| 1568406437 | Mallory Smith | Emergency Medicine | 125 Memorial Dr, Reidsville, GA 30453-4641 | 2006-06-15 |
| 1558321703 | Guilford Emergency Physicians Pa | Emergency Medicine | 618 S Main St, Reidsville, NC 27320-5020 | 2006-03-23 |
| 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 | ||||
| City | REIDSVILLE |
| Zip Code | 30453 |
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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.