GEORGE REGIONAL ER PHYSICIANS
NPI 1043690936
Emergency Medicine - Emergency Medical Services in Lucedale, MS
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
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
George Regional Er Physicians is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
33Medicare enrollment records show 33 clinicians reassign Medicare billing to George Regional ER Physicians, which bills Medicare for the services they deliver. Of these, 9 practice at this address and 12 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 8
Nearest to this location (20)
See all 33Source: 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
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, MSFrequently 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 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.
Where is George Regional ER Physicians located?
George Regional ER Physicians is located at 859 Winter St, Lucedale, MS 39452. The listed phone number is (601) 947-3161.
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.
Is George Regional ER Physicians enrolled in Medicare?
Yes. George Regional ER Physicians is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through George Regional ER Physicians?
According to the CMS Revalidation Reassignment List (October 2026 release), 33 clinicians in 8 Medicare specialties reassign their Medicare billing to George Regional ER Physicians. 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 Nurse Practitioner (13), Family Practice (9) and Emergency Medicine (4). Of these, 9 practice at this address and 12 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does George Regional ER Physicians hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 25D0672386) is associated with this NPI, valid through April 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does George Regional ER Physicians accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list George Regional ER Physicians as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for George Regional ER Physicians was last updated on November 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# George Regional Er Physicians · NPI 1043690936
Emergency Medical Services organization in Lucedale, Mississippi. Organization record, active in the CMS NPPES registry since June 4, 2015.
## Identity
- **NPI:** 1043690936 (Entity type: Organization)
- **Enumerated:** June 4, 2015
- **Primary specialty:** Emergency Medicine - Emergency Medical Services · taxonomy 207PE0004X
- **Organization subpart:** No
- **Authorized official:** Kathy Fender, ADMINISTRATOR
## Practice location
- **Address:** 859 WINTER ST, Lucedale, MS 39452-6603
- **Phone:** (601) 947-3161 · **Fax:** (601) 947-1331
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 33 clinicians in 8 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (13), Family Practice (9), Emergency Medicine (4); 9 practice at this address and 12 within 10 miles; [full list](https://npiprofile.com/npi/1043690936/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 7, 2016
- **Other identifiers:** Medicare PIN 423780 (MS); Medicaid 01839854 (MS)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1043690936) · Data from the CMS NPPES public registry.