ADVANTUS EMERGENCY PHYSICIANS, LLC (NPI# 1700259538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700259538 |
| Entity Type | Organization |
| Organization Name | ADVANTUS EMERGENCY PHYSICIANS, LLC |
| Practice Address |
200 Allen Memorial Dr Bremen GA 30110-2012 |
| Mailing Address |
Po Box 80068 Philadelphia PA 19101-0068 |
| Practice Telephone | 4694012386 |
| Mailing Telephone | 4694012386 |
| Enumeration Date | 2015-11-02 |
| Last Update Date | 2015-11-17 |
| Authorized Official Name | GREGORY J. BYRNE, M.D. (OFFICER) |
| Authorized Official Telephone | 4694012386 |
| 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 |
| Street Address |
200 ALLEN MEMORIAL DR |
| City | BREMEN |
| State | GA |
| Zip Code | 30110-2012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194712083 | Tmc/higgins General Hospital | General Acute Care Hospital | 200 Allen Memorial Dr, Bremen, GA 30110-2012 | 2005-10-05 |
| 1497281133 | Cantrell Lake Inpatient Services LLC | Physician Assistant | 200 Allen Memorial Dr, Bremen, GA 30110-2012 | 2017-05-01 |
| 1134592918 | Daybreak Emergency Physicians, LLC | Physician Assistant | 200 Allen Memorial Dr, Bremen, GA 30110-2012 | 2015-11-03 |
| 1548409097 | Crystal Harris Lovvorn | Physician Assistant | 200 Allen Memorial Dr, Bremen, GA 30110-2012 | 2009-02-06 |
| 1851569560 | Georgia Em-i Medical Services, PC | Emergency Medicine | 200 Allen Memorial Dr, Bremen, GA 30110-2012 | 2008-02-15 |
| 1700914926 | Northwest Georgia Oncology Centers, PC | Durable Medical Equipment & Medical Supplies | 200 Allen Memorial Dr, Ste 302-b, Bremen, GA 30110-2012 | 2007-03-01 |
| 1952413452 | Sheila Best | Emergency Medicine | 200 Allen Memorial Dr, Bremen, GA 30110-2012 | 2006-08-31 |
| 1568492403 | Robert Andrew Patrick | Nurse Anesthetist, Certified Registered | 200 Allen Memorial Dr, Bremen, GA 30110-2012 | 2006-07-04 |
| 1164458832 | Independence Emergency Physicians LLC | Emergency Medicine | 200 Allen Memorial Dr, Emergency Department, Bremen, GA 30110-2012 | 2006-06-24 |
| 1629019336 | Kevin Garvey | Nurse Anesthetist, Certified Registered | 200 Allen Memorial Dr, Bremen, GA 30110-2012 | 2006-06-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596646 | Bhg Lxvi, LLC | Clinic/Center | 1021 Alabama Avenue, Bremen, GA 30110 | 2020-10-22 |
| 1013466788 | Jodi Elizabeth Walker | Speech-Language Pathologist | 35 Shelnutt Dr, Bremen, GA 30110 | 2016-09-23 |
| 1396927539 | Candace Kay Heard | Pharmacist | 240 Tallapoosa St, Bremen, GA 30110 | 2007-11-29 |
| 1871781476 | Allison Kimball Key | Family Medicine | Po Box 728, 222 Gordon Street, Bremen, GA 30110 | 2007-10-09 |
| 1013041706 | Haralson County Board of Health | Day Training, Developmentally Disabled Services | 1449 Cashtown Road, Bremen, GA 30110 | 2007-03-15 |
| 1942343892 | Haralson County Board of Health | Community/Behavioral Health | 1449 Temple Road, Bremen, GA 30110 | 2007-02-14 |
| 1649332008 | Anna Christine Jones | Nurse Practitioner | 101 Tom Murphy Industrial Blvd, Bremen, GA 30110 | 2006-12-14 |
| 1063584324 | Regina Lorren Holloway | Allergy & Immunology | 308 Carrollton Street, Bremen, GA 30110 | 2006-11-14 |
| 1285725887 | Daniel E Mcbrayer | Specialist | 306 Laurel St Ste C, Bremen, GA 30110 | 2006-09-27 |
| 1881795086 | William Robert Lovvorn | Pharmacist | 240 Tallapoosa Street E, Lovvorn Pharmacy, Bremen, GA 30110 | 2006-09-26 |
| Find all providers in zip 30110 | ||||
| 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 |
|---|---|---|---|---|
| 1851569560 | Georgia Em-i Medical Services, PC | Emergency Medicine | 200 Allen Memorial Dr, Bremen, GA 30110-2012 | 2008-02-15 |
| 1184771461 | James Wellington Lowe | Emergency Medicine | 1020 High Road, Bremen, IN 46506 | 2007-01-05 |
| 1952413452 | Sheila Best | Emergency Medicine | 200 Allen Memorial Dr, Bremen, GA 30110-2012 | 2006-08-31 |
| 1689680977 | John Keith Frey | Emergency Medicine | 1020 High Road, Bremen, IN 46506-0008 | 2006-07-31 |
| 1164458832 | Independence Emergency Physicians LLC | Emergency Medicine | 200 Allen Memorial Dr, Emergency Department, Bremen, GA 30110-2012 | 2006-06-24 |
| 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 |
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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.