SOUTHLAND CLINCH EMERGENCY MEDICAL SERVICES, LLC
NPI 1093223778
Emergency Medicine in Homerville, GA

Active since January 17, 2018
1050 VALDOSTA HWY, HOMERVILLE, GA 31634(912) 487-5211 Get Directions Write a Review

NPPES record last updated: January 17, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Southland Clinch Emergency Medical Services, Llc NPPES

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

SOUTHLAND CLINCH EMERGENCY MEDICAL SERVICES, LLC (NPI 1093223778) is a healthcare organization registered as an emergency medicine in Homerville, Georgia and active in the NPI registry since January 2018. The organization lists Stephanie L Fletcher, Cfo, as its authorized official.

NPPES Registry Identity

NPI1093223778
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameSOUTHLAND CLINCH EMERGENCY MEDICAL SERVICES, LLC
Location Address1050 VALDOSTA HWYHomerville, GA 31634-9701
Mailing Address100 S Madison StThomasville, GA 31792-5473 · (229) 236-0831 · Fax (229) 236-0871
Organization SubpartNo
Authorized OfficialStephanie L FletcherCfo · (229) 236-0831
Enumeration DateJanuary 17, 2018
✔ NPI 1093223778 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.
1050 VALDOSTA HWY, Homerville, GA 31634

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Southland Clinch Emergency Medical Services, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Southland Clinch Emergency Medical Services, LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians by Medicare Specialty 3

Nurse Practitioner5
Emergency Medicine3
Internal Medicine2

Clinicians, nearest first (10)

Emergency Medicine
NPI 1528169190
1101 OCILLA RD
Douglas, GA 31533
(912) 384-1900
✔ PECOS33 mi
Internal Medicine
NPI 1205873700
3314 CHARDON WAY
Valdosta, GA 31602
(229) 244-9250
✔ PECOS34 mi
Nurse Practitioner
NPI 1124420856
315 E SCREVEN ST
Quitman, GA 31643
(229) 305-1000
✔ PECOS✔ Accepts Medicare50 mi
Nurse Practitioner
NPI 1861119869
132 LOBLOLLY RD
Moultrie, GA 31768
(912) 713-5130
✔ PECOS✔ Accepts Medicare62 mi
Nurse Practitioner
NPI 1730133521
100 S MADISON ST
Thomasville, GA 31792
(229) 498-1088
✔ PECOS✔ Accepts Medicare74 mi
Emergency Medicine
NPI 1619028255
100 S MADISON ST
Thomasville, GA 31792
(229) 236-0831
✔ PECOS✔ Accepts Medicare74 mi
Nurse Practitioner
NPI 1962993519
601 11TH AVE
Albany, GA 31701
(229) 430-4140
✔ PECOS✔ Accepts Medicare91 mi
Internal Medicine
NPI 1407317746
1834A JACLIF CT
Tallahassee, FL 32308
(888) 280-1988
✔ PECOS✔ Accepts Medicare95 mi
Emergency Medicine
NPI 1346391299
4700 WATERS AVENUE GEORIGA EMERGENCY MEDICINE SPECIALISTS
Savannah, GA 31404
(912) 350-3849
✔ PECOS✔ Accepts Medicare120 mi
Nurse Practitioner
NPI 1861631061
250 E 4TH AVE
Mount Dora, FL 32757
(352) 735-1400
✔ PECOS✔ Accepts Medicare168 mi

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 Southland Clinch Emergency Medical Services, LLC's NPI number?

The NPI number for Southland Clinch Emergency Medical Services, LLC is 1093223778. It was assigned to this organization in the NPPES registry on January 17, 2018.

Where is Southland Clinch Emergency Medical Services, LLC located?

Southland Clinch Emergency Medical Services, LLC is located at 1050 Valdosta Hwy, Homerville, GA 31634. The listed phone number is (912) 487-5211.

What is Southland Clinch Emergency Medical Services, LLC's specialty?

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

Is Southland Clinch Emergency Medical Services, LLC enrolled in Medicare?

Yes. Southland Clinch Emergency Medical Services, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southland Clinch Emergency Medical Services, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 3 Medicare specialties reassign their Medicare billing to Southland Clinch Emergency Medical Services, 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 Nurse Practitioner (5), Emergency Medicine (3) and Internal Medicine (2). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Southland Clinch Emergency Medical Services, LLC was last updated on January 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.