Rakesh R Shah (NPI# 1063414522, PAC ID# 9234036229) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1063414522 |
| PAC ID by PECOS | 9234036229 |
| Professional Enrollment ID | I20051007000540 |
| Full Name | Rakesh R Shah |
| Organization Legal Name | SOUTHERN EMERGENCY PHYSICIANS LLP |
| Address |
1740 Lions Club Rd Madison GA 30650-4762 |
| Phone Number | 7063421667 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1992 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | EMERGENCY MEDICINE |
| Group Practice PAC ID | 6406992064 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180053 | FLEMING COUNTY HOSPITAL |
| 010086 | NORTHWEST MEDICAL CENTER |
| 110189 | FANNIN REGIONAL HOSPITAL |
| 151327 | SULLIVAN COUNTY COMMUNITY HOSPITAL |
| 110236 | CHI MEMORIAL HOSPITAL - GEORGIA |
| Address | Phone | Organization |
|---|---|---|
| 901 Griffin Ave, Eastman, GA 31023-6720 | 4784484000 | SOUTHERN EMERGENCY PHYSICIANS LLP |
| 100 Gross Crescent Cir, Fort Oglethorpe, GA 30742-3643 | 7068582000 | FORT OGLETHORPE EMERGENCY PHYSICIANS GROUP LLC |
| 1211 Old Main St, Hartford, KY 42347-1619 | 2702987411 | FIVE STAR EMERGENCY PHYSICIANS LLC |
| 1740 Lions Club Rd, Madison, GA 30650-4762 | 7063421667 | SOUTHERN EMERGENCY PHYSICIANS LLP |
| 211 Hospital Rd, Red Bay, AL 35582-3858 | 2563568160 | CORRECT CARE, INC. |
| 2200 N Section St, Sullivan, IN 47882-7523 | 8122684311 | CONCORD MEDICAL GROUP OF KENTUCKY |
| 406 W Oak St, Titusville Area Hosp, Titusville, PA 16354-1404 | 8148277162 | PA LIBERTY ST EMERGENCY PHYSICIANS LLC |
| Organization Legal Name | SOUTHERN EMERGENCY PHYSICIANS LLP |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Monica V Rhymes | Nurse Practitioner | Southern Emergency Physicians LLP | 1077 S Main St, Madison, GA 30650-2073 |
| Thang Xuan Nguyen | Family Medicine | Southern Emergency Physicians LLP | 1740 Lions Club Rd, Madison, GA 30650-4762 |
| Sara Cannington | Nurse Practitioner | Southern Emergency Physicians LLP | 1740 Lions Club Rd, Madison, GA 30650-4762 |
| Kirk T Brown | Emergency Medicine | Southern Emergency Physicians LLP | 1740 Lions Club Rd, Madison, GA 30650-4762 |
| Jin Yang | Internal Medicine | Southern Emergency Physicians LLP | 1740 Lions Club Rd, Madison, GA 30650-4762 |
| Billy Yu-ping Chiou | Emergency Medicine | Southern Emergency Physicians LLP | 1740 Lions Club Rd, Madison, GA 30650-4762 |
| Dennis R Spencer Jr. | Obstetrics/gynecology | Southern Emergency Physicians LLP | 1740 Lions Club Rd, Madison, GA 30650-4762 |
| Anil Kumar Chhabra | Pediatric Medicine | Southern Emergency Physicians LLP | 1740 Lions Club Rd, Madison, GA 30650-4762 |
| Street Address |
1740 LIONS CLUB RD |
| City | MADISON |
| State | GA |
| Zip | 30650-4762 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thang Xuan Nguyen | Family Medicine | Southern Emergency Physicians LLP | 1740 Lions Club Rd, Madison, GA 30650-4762 |
| Sara Cannington | Nurse Practitioner | Southern Emergency Physicians LLP | 1740 Lions Club Rd, Madison, GA 30650-4762 |
| Kirk T Brown | Emergency Medicine | Southern Emergency Physicians LLP | 1740 Lions Club Rd, Madison, GA 30650-4762 |
| Jin Yang | Internal Medicine | Southern Emergency Physicians LLP | 1740 Lions Club Rd, Madison, GA 30650-4762 |
| Billy Yu-ping Chiou | Emergency Medicine | Southern Emergency Physicians LLP | 1740 Lions Club Rd, Madison, GA 30650-4762 |
| Dennis R Spencer Jr. | Obstetrics/gynecology | Southern Emergency Physicians LLP | 1740 Lions Club Rd, Madison, GA 30650-4762 |
| Anil Kumar Chhabra | Pediatric Medicine | Southern Emergency Physicians LLP | 1740 Lions Club Rd, Madison, GA 30650-4762 |
| Robert Pepper | Family Medicine | 1740 Lions Club Rd, Fl 2, Madison, GA 30650-4762 | |
| Gary Richard Walton | Urology | Athens Area Urology PC | 1740 Lions Club Rd, Suite 200, Madison, GA 30650-4762 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kenneth R Tennant | Optometry | 223 S Main St, Madison, GA 30650-1351 | |
| Vanessa P Triplett | Chiropractic | 255 N Main St, Suite C, Madison, GA 30650-1390 | |
| Vince Campbell | Chiropractic | Family Chiropractors, PC | 1163 Eatonton Rd, Madison, GA 30650-2026 |
| Elise Faust | Chiropractic | Family Chiropractors, PC | 1163 Eatonton Rd, Madison, GA 30650-2026 |
| Karen Khalil | Nurse Practitioner | Morgan County Georgia Hospital Authority | 1075 S Main St, Suite 100, Madison, GA 30650-2034 |
| Miguel E Cossio | Internal Medicine | 1075 S Main St, Suite 400, Madison, GA 30650-2050 | |
| Pamela G Hall | Family Medicine | 2002 S Main St, Madison, GA 30650-2054 | |
| Walter Daniel Zant | Family Medicine | 2002 S Main St, Madison, GA 30650-2054 | |
| Leah Malcom Ainslie | Nurse Practitioner | 2005 S Main St, Suite 200, Madison, GA 30650-2055 | |
| Monica V Rhymes | Nurse Practitioner | Southern Emergency Physicians LLP | 1077 S Main St, Madison, GA 30650-2073 |
| Find all physicians in zip 30650 | |||
| City | MADISON |
| Zip Code | 30650 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | MADISON + INTERNAL MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.