EAST GEORGIA EMERGENCY PHYSICIANS PC NPI 1922013473

NPI Information

  • NPI: 1922013473
  • Provider Name: EAST GEORGIA EMERGENCY PHYSICIANS PC
  • Classification: Emergency Medicine - 207PE0004X
  • Specialization: Emergency Medical Services
  • Entity Type: Organization
  • Address: 660 SNOOPY LN
    PORTAL, GA
    ZIP 30450
  • Phone: (912) 865-9353

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NPI Details

EAST GEORGIA EMERGENCY PHYSICIANS PC is an emergency medical services emergency medicine in Portal, GA. The provider is an emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. EAST GEORGIA EMERGENCY PHYSICIANS PC NPI is 1922013473. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

660 SNOOPY LN
PORTAL, GA
ZIP 30450-802
Phone: (912) 865-9353
Fax: (912) 865-4175

The provider's authorized official is Russell P Herrington .
The authorized official title is President and has the following contact phone number (912) 865-9353.

The enumeration date for this NPI number is 7/30/2006 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
1207PE0004XEmergency MedicineEmergency Medical ServicesYes

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: 11/21/2025

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