GEORGE REGIONAL ER PHYSICIANS
NPI 1043690936
Emergency Medicine - Emergency Medical Services in Lucedale, MS

Q: What is George Regional ER Physicians's NPI number?

The NPI number for George Regional ER Physicians is 1043690936. It was assigned to this organization in the NPPES registry on June 4, 2015.

Q: What is George Regional ER Physicians's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Emergency Medical Services, with taxonomy code 207PE0004X.

Active since June 04, 2015CLIA 25D0672386 · Certificate of Compliance

859 WINTER ST, LUCEDALE, MS 39452(601) 947-3161(601) 947-1331 Get Directions Write a Review

NPPES record last updated: November 7, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About George Regional Er Physicians NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GEORGE REGIONAL ER PHYSICIANS (NPI 1043690936) is a healthcare organization registered as an emergency medical services in Lucedale, Mississippi and active in the NPI registry since June 2015. The organization holds a CLIA Certificate of Compliance certificate valid through April 6, 2027 and lists Kathy Fender, Administrator, as its authorized official.

NPPES Registry Identity

NPI1043690936

Entity TypeOrganization

Primary Taxonomy207PE0004X

Legal Business NameGEORGE REGIONAL ER PHYSICIANS

Location Address859 WINTER STLucedale, MS 39452-6603

Mailing AddressPo Box 1007Lucedale, MS 39452-1007 · (601) 947-1332 · Fax (601) 947-1331

Phone(601) 947-3161

Fax(601) 947-1331

Organization SubpartNo

Authorized OfficialKathy FenderAdministrator · (601) 947-8181

Enumeration DateJune 4, 2015

Last NPPES UpdateNovember 7, 2016

✔ NPI 1043690936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medicine · Emergency Medical ServicesAllopathic & Osteopathic Physicians

Taxonomy Code207PE0004X

Definition

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.

859 WINTER ST, Lucedale, MS 39452

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Other Identifiers 2

Medicare PIN423780MS

Medicaid01839854MS

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

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 Compliance 25D0672386

George Regional Hospital · Lucedale, MS

Active · expires Apr 6, 2027

CLIA Number25D0672386

Laboratory TypeHospital

Certificate Effective DateApril 7, 2025

Certificate Expiration DateApril 6, 2027

Laboratory DirectorTodd J. Kendall

Laboratory Phone(601) 673-6160

Laboratory LocationGeorge Regional Hospital859 Winter Street, Lucedale, MS 39452

CLIA data matches this NPI record on: Address

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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.

MR. RHETT SCOTT CRNA

Nurse Anesthetist, Certified Registered