DORMINY MEDICAL CENTER
NPI 1043328156
Emergency Medicine in Fitzgerald, GA

Q: 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.

Q: What is Ben Hill Emergency Group LLC's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Active since August 28, 2006CLIA Certified · 2 labs

200 PERRY HOUSE RD, FITZGERALD, GA 31750(800) 893-9698 Get Directions Write a Review

NPPES record last updated: February 16, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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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

NPI1043328156

Entity TypeOrganization

Primary Taxonomy207P00000X

Legal Business NameBEN HILL EMERGENCY GROUP LLC

Location Address200 PERRY HOUSE RDFitzgerald, GA 31750-8857

Mailing Address200 Corporate BlvdLafayette, LA 70508-3870 · (800) 893-9896

Phone(800) 893-9698

Organization SubpartNo

Authorized OfficialLisha C FalkVp Of Contracting · (800) 893-9698

Enumeration DateAugust 28, 2006

Last NPPES UpdateFebruary 16, 2016

✔ NPI 1043328156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Definition

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.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X

Also ListedNurse PractitionerTaxonomy 363L00000X

200 PERRY HOUSE RD, Fitzgerald, GA 31750

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Other Names 1

Other NameDorminy Medical Center

Other Identifiers 2

Medicaid708665600AGA

Medicare PINGRP7847GA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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, GA

Active · expires Jan 2, 2027

CLIA Number11D0266122

Laboratory TypeHospital

Certificate Effective DateJanuary 3, 2025

Certificate Expiration DateJanuary 2, 2027

Laboratory DirectorMeng Jun A. Xiong

Laboratory Phone(229) 424-7150

Laboratory LocationDorminy Medical Center Laboratory200 Perry House Rd, Fitzgerald, GA 31750

CLIA data matches this NPI record on: Address Name

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 11D2003626

Dorminy Medical Center · Fitzgerald, GA

Active · expires Feb 15, 2028

CLIA Number11D2003626

Laboratory TypeRural Health Clinic

Certificate Effective DateFebruary 16, 2026

Certificate Expiration DateFebruary 15, 2028

Laboratory DirectorJames A. Macdonald

Laboratory Phone(229) 424-7263

Laboratory LocationDorminy Medical Center116 Benjamin Hill Drive, Suite 12, Fitzgerald, GA 31750

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HOSPITAL AUTHORITY OF BEN HILL

Hospice Care, Community Based