DORMINY MEDICAL CENTER
NPI 1043328156
Emergency Medicine in Fitzgerald, GA
About Dorminy Medical Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DORMINY MEDICAL CENTER (NPI 1043328156) is a healthcare organization registered as an emergency medicine in Fitzgerald, Georgia and active in the NPI registry since August 2006. The organization holds 2 active CLIA laboratory certificates and lists Lisha C Falk, Vp Of Contracting, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dorminy Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
23Medicare enrollment records show 23 clinicians reassign Medicare billing to Dorminy Medical Center, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 5
Nearest to this location (20)
See all 23Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 2
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Accreditation 11D0266122
Dorminy Medical Center Laboratory · Fitzgerald, GACertificate of Waiver 11D2003626
Dorminy Medical Center - Dmc Family Care · Fitzgerald, GAFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Ben Hill Emergency Group LLC's NPI number?
The NPI number for Ben Hill Emergency Group LLC is 1043328156. It was assigned to this organization in the NPPES registry on August 28, 2006. The provider is also known as Dorminy Medical Center.
Where is Ben Hill Emergency Group LLC located?
Ben Hill Emergency Group LLC is located at 200 Perry House Rd, Fitzgerald, GA 31750. The listed phone number is (800) 893-9698.
What is Ben Hill Emergency Group LLC's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Ben Hill Emergency Group LLC enrolled in Medicare?
Yes. Ben Hill Emergency Group LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ben Hill Emergency Group LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 23 clinicians in 5 Medicare specialties reassign their Medicare billing to Ben Hill Emergency Group LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Emergency Medicine (17), Family Practice (3) and General Practice (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Ben Hill Emergency Group LLC hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
When was this NPI record last updated?
The NPPES record for Ben Hill Emergency Group LLC was last updated on February 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dorminy Medical Center · NPI 1043328156
Emergency Medicine organization in Fitzgerald, Georgia. Organization record, active in the CMS NPPES registry since August 28, 2006.
## Identity
- **NPI:** 1043328156 (Entity type: Organization)
- **Enumerated:** August 28, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **Legal business name:** Ben Hill Emergency Group Llc
- **Organization subpart:** No
- **Authorized official:** Lisha Falk, VP OF CONTRACTING
## Practice location
- **Address:** 200 PERRY HOUSE RD, Fitzgerald, GA 31750-8857
- **Phone:** (800) 893-9698
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 23 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Emergency Medicine (17), Family Practice (3), General Practice (1); [full list](https://npiprofile.com/npi/1043328156/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 16, 2016
- **Other identifiers:** Medicaid 708665600A (GA); Medicare PIN GRP7847 (GA)
- **CLIA laboratory certificates:** 2 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1043328156) · Data from the CMS NPPES public registry.