SOUTHLAND TN EMERGENCY MEDICAL SERVICES LLC
NPI 1518773712
Emergency Medicine in Waynesboro, TN

NPI Status: Active since December 04, 2024

Contact Information

103 JV MANGUBAT DR
WAYNESBORO, TN
ZIP 38485
Phone: (229) 236-0831

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  • Organization
  • Emergency Medicine

About SOUTHLAND TN EMERGENCY MEDICAL SERVICES LLC

This page provides the complete NPI Profile along with additional information for Southland Tn Emergency Medical Services Llc, a provider established in Waynesboro, Tennessee operating as a Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1518773712 assigned on December 2024. The practitioner's primary taxonomy code is 207P00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Southland Tn Emergency Medical Services Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Stephanie Fletcher (Cfo)

NPI
1518773712
Provider Name
SOUTHLAND TN EMERGENCY MEDICAL SERVICES LLC
Entity Type
Organization
Location Address
103 JV MANGUBAT DR WAYNESBORO, TN 38485
Location Phone
(229) 236-0831
Mailing Address
100 S MADISON ST THOMASVILLE, GA 31792
Mailing Phone
(229) 236-0831
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-04-2024
Last Update Date
12-04-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Emergency Medicine

Taxonomy Code
207P00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

STEPHANIE FLETCHER

Authorized Official Title
CFO
Authorized Official Phone
(229) 236-0831

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1518773712
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2528147672
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 2 + 8 + 1 + 4 + 7 + 6 + 7 + 2 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1518773712 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 13 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1013965516WAYNESBORO EMERGENCY SERVICES II, LLC
Organization
Emergency Medicine103 JV MANGUBAT DR
WAYNESBORO, TN 38485
(931) 722-5411
1477594455 ROBERT COBLE MD
Individual
Emergency Medicine103 JV MANGUBAT DR
WAYNESBORO, TN 38485
(904) 805-1300
1902940117DR. HUBERT ERNEST LANGLEY M.D.
Individual
Specialist103 JV MANGUBAT DR
WAYNESBORO, TN 38485
(931) 722-5411
1891967592MS. RHONDA PENELOPE MOORE LPTA
Individual
Physical Therapy Assistant103 JV MANGUBAT DR
WAYNESBORO, TN 38485
(931) 722-2041
1053691063LIFECARE FAMILY SERVICES
Organization
Community/Behavioral Health103 JV MANGUBAT DR MEDICAL OFFICE-SUITE C
WAYNESBORO, TN 38485
(615) 781-0013
1285866970DR. OLIVIA KATHRYN BARRINGTON PHARM.D.
Individual
Pharmacist103 JV MANGUBAT DR
WAYNESBORO, TN 38485
(931) 722-2038
1700251410DR. ELIZABETH HUMPHREY PHARM.D.
Individual
Pharmacist103 JV MANGUBAT DR
WAYNESBORO, TN 38485
(931) 722-2038
1386136869MRS. KELSEY LEE COTA/L
Individual
Occupational Therapy Assistant103 JV MANGUBAT DR
WAYNESBORO, TN 38485
(931) 722-5411
1528665452MAURY REGIONAL HOSPITAL
Organization
Non-Pharmacy Dispensing Site103 JV MANGUBAT DR
WAYNESBORO, TN 38485
(952) 653-2525
1457489312JERRY M DUREN
Organization
Pharmacy (Institutional Pharmacy)103 JV MANGUBAT DR
WAYNESBORO, TN 38485
(931) 722-2038
1942294863DR. DONALD GABRIEL POLK D.O.
Individual
Family Medicine103 JV MANGUBAT DR
WAYNESBORO, TN 38485
(931) 762-9418
1427631944 SAMUEL PRESTON WELCH NP-C
Individual
Nurse Practitioner (Primary Care)103 JV MANGUBAT DR
WAYNESBORO, TN 38485
(931) 722-5411
1811927544MAURY REGIONAL HOSPITAL
Organization
General Acute Care Hospital103 JV MANGUBAT DR
WAYNESBORO, TN 38485
(931) 722-5411

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1518773712, enumerated in the NPI registry as an "organization" on December 04, 2024

The provider is located at 103 Jv Mangubat Dr Waynesboro, Tn 38485 and the phone number is (229) 236-0831

This medical organization specializes in Emergency Medicine with taxonomy code 207P00000X

This NPI record was last updated on December 04, 2024. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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