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PEACH STATE EMERGENCY PHYSICIANS LLC
NPI 1053170605
Emergency Medicine in Augusta, GA

Active since March 18, 2024
1350 WALTON WAY, AUGUSTA, GA 30901(706) 722-9011 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Peach State Emergency Physicians Llc NPPES

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

PEACH STATE EMERGENCY PHYSICIANS LLC (NPI 1053170605) is a healthcare organization registered as an emergency medicine in Augusta, Georgia and active in the NPI registry since March 2024. The organization maintains 2 additional practice locations and lists Boykin Robinson, President, as its authorized official.

NPPES Registry Identity

NPI1053170605
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NamePEACH STATE EMERGENCY PHYSICIANS LLC
Location Address1350 WALTON WAYAugusta, GA 30901-2612
Mailing Address400 Galleria Pkwy Se Ste 960Atlanta, GA 30339-5980 · (404) 500-8147
Phone(706) 722-9011
Organization SubpartNo
Authorized OfficialBoykin RobinsonPresident · (404) 500-8147
Enumeration DateMarch 18, 2024
Last NPPES UpdateJuly 13, 2026
NPPES CertifiedJuly 13, 2026
✔ NPI 1053170605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
1350 WALTON WAY, Augusta, GA 30901
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Secondary Practice Locations 2

Location 12460 Washington RdThomson, GA 30824-6600 · Phone (706) 595-1411
Location 22260 Wrightsboro RdAugusta, GA 30904-4764 · Phone (706) 722-9011

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Peach State Emergency Physicians Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

158

Medicare enrollment records show 158 clinicians reassign Medicare billing to Peach State Emergency Physicians LLC, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 49 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 7

Emergency Medicine107
Nurse Practitioner35
Family Practice8
Internal Medicine5
Hospitalist1
Otolaryngology1
Preventive Medicine1

Nearest to this location (20)

See all 158
Jina Anderson, NP
Nurse Practitioner
NPI 1609525492
1350 WALTON WAY
Augusta, GA 30901
(706) 774-5795
✔ PECOS✔ Accepts MedicareSame address
Neeraja Chandrasekaran, M.D.
Preventive Medicine
NPI 1124442181
1350 WALTON WAY
Augusta, GA 30901
(706) 774-5795
✔ PECOS✔ Accepts MedicareSame address
Tracy Garrett, MSN, APRN
Nurse Practitioner
NPI 1750817748
1350 WALTON WAY
Augusta, GA 30901
(706) 774-4900
✔ PECOS✔ Accepts MedicareSame address
Berkeley Gary
Nurse Practitioner
NPI 1275257388
1350 WALTON WAY
Augusta, GA 30901
(706) 722-9011
✔ PECOSSame address
Sherwin Goering, DNP
Nurse Practitioner
NPI 1215599527
1350 WALTON WAY
Augusta, GA 30901
(706) 774-2112
✔ PECOSSame address
Peter Mclaughlin, FNP
Nurse Practitioner
NPI 1255996781
1350 WALTON WAY
Augusta, GA 30901
(706) 774-5795
✔ PECOS✔ Accepts MedicareSame address
Chijioke Ohamadike, MD
Emergency Medicine
NPI 1841752029
1350 WALTON WAY
Augusta, GA 30901
(706) 722-9011
✔ PECOSSame address
Ziad Ahmadie, MD
Emergency Medicine
NPI 1275646739
1350 WALTON WAY
Augusta, GA 30901
(706) 722-9011
✔ PECOS✔ Accepts Medicare0.1 mi
Elgin Hobbs, MD
Emergency Medicine
NPI 1902919491
1350 WALTON WAY
Augusta, GA 30901
(706) 722-9011
✔ PECOS0.1 mi
Doreen Luis, MD
Emergency Medicine
NPI 1518070010
1350 WALTON WAY
Augusta, GA 30901
(706) 722-9011
✔ PECOS0.1 mi
Michael Alper, D.O.
Emergency Medicine
NPI 1760917587
1350 WALTON WAY
Augusta, GA 30901
(706) 722-9011
✔ PECOS✔ Accepts Medicare0.1 mi
Blaire Bowers, D.O.
Emergency Medicine
NPI 1457712051
1350 WALTON WAY
Augusta, GA 30901
(706) 774-3585
✔ PECOS0.1 mi
Michael Caudell, MD
Emergency Medicine
NPI 1275646747
1350 WALTON WAY
Augusta, GA 30901
(706) 722-9011
✔ PECOS0.1 mi
Kyle Guderian, NP
Nurse Practitioner
NPI 1508491812
1350 WALTON WAY
Augusta, GA 30901
(706) 722-9011
✔ PECOS✔ Accepts Medicare0.1 mi
Ryan Andrews, FNP
Nurse Practitioner
NPI 1124542295
1350 WALTON WAY
Augusta, GA 30901
(706) 774-2176
✔ PECOS0.1 mi
Darlene Batastini, FNP
Nurse Practitioner
NPI 1538435086
1348 WALTON WAY STE 5700
Augusta, GA 30901
(706) 774-7022
✔ PECOS✔ Accepts Medicare0.1 mi
Susan Brands, MD
Emergency Medicine
NPI 1801464276
1120 15TH ST
Augusta, GA 30912
(706) 721-0211
✔ PECOS✔ Accepts Medicare0.4 mi
William Cary, MD
Emergency Medicine
NPI 1548885486
1120 15TH ST
Augusta, GA 30912
(706) 721-9081
✔ PECOS0.4 mi
Christopher Schoenmann, FNP-C
Nurse Practitioner
NPI 1316624182
1120 15TH ST
Augusta, GA 30912
(770) 533-2522
✔ PECOS✔ Accepts Medicare0.4 mi
Jacob Adkins, FNP
Nurse Practitioner
NPI 1508330739
1120 15TH ST
Augusta, GA 30912
(706) 723-4200
✔ PECOS0.6 mi
See all 158 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently 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 Peach State Emergency Physicians LLC's NPI number?

The NPI number for Peach State Emergency Physicians LLC is 1053170605. It was assigned to this organization in the NPPES registry on March 18, 2024.

Where is Peach State Emergency Physicians LLC located?

Peach State Emergency Physicians LLC is located at 1350 Walton Way, Augusta, GA 30901. The listed phone number is (706) 722-9011.

What is Peach State Emergency Physicians LLC's specialty?

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

Is Peach State Emergency Physicians LLC enrolled in Medicare?

Yes. Peach State Emergency Physicians LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Peach State Emergency Physicians LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 158 clinicians in 7 Medicare specialties reassign their Medicare billing to Peach State Emergency Physicians 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 (107), Nurse Practitioner (35) and Family Practice (8). Of these, 7 practice at this address and 49 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Peach State Emergency Physicians LLC was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.