Provider Type Icon

DODGE EMERGENCY GROUP LLC NPI 1164481065


NPI Information

NPI: 1164481065
Provider Name: DODGE EMERGENCY GROUP LLC
Classification: Physician Assistant - 363AM0700X
Entity Type: Organization

Specialization: Medical

Address:
715 GRIFFIN AVE
EASTMAN, GA
ZIP 31023
Phone: (478) 374-4000
Get Directions

DODGE EMERGENCY GROUP LLC is a medical physician assistant in Eastman, GA. DODGE EMERGENCY GROUP LLC NPI is 1164481065. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

715 GRIFFIN AVE
EASTMAN, GA
ZIP 31023-716
Phone: (478) 374-4000

The provider's authorized official is William Schumacher .
The authorized official title is Ceo and has the following contact phone number (800) 893-9698.

The enumeration date for this NPI number is 3/20/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedicalYes
2363L00000XNurse PractitionerX
3207P00000XEmergency MedicineX

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.