SOUTHLAND CONSOLIDATED EMERGENCY SERVICES, LLC
NPI 1174917124
Emergency Medicine in Elberton, GA

Q: What is Southland Consolidated Emergency Services, LLC's specialty?

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

Active since March 26, 2015

4 MEDICAL DR, ELBERTON, GA 30635(706) 283-3151 Get Directions Write a Review

NPPES record last updated: June 11, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 11, 2019, Apr 3, 2019 (2 updates tracked since 2019).

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About Southland Consolidated Emergency Services, Llc NPPES

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

SOUTHLAND CONSOLIDATED EMERGENCY SERVICES, LLC (NPI 1174917124) is a healthcare organization registered as an emergency medicine in Elberton, Georgia and active in the NPI registry since March 2015. The organization lists Stephanie Fletcher, Cfo, as its authorized official.

NPPES Registry Identity

NPI1174917124

Entity TypeOrganization

Primary Taxonomy207P00000X

Legal Business NameSOUTHLAND CONSOLIDATED EMERGENCY SERVICES, LLC

Location Address4 MEDICAL DRElberton, GA 30635-1897

Mailing Address100 S Madison StThomasville, GA 31792-5473 · (292) 236-0831 · Fax (229) 236-0871

Phone(706) 283-3151

Organization SubpartNo

Authorized OfficialStephanie FletcherCfo · (229) 236-0831

Enumeration DateMarch 26, 2015

Last NPPES UpdateJune 11, 20192 updates tracked since enumeration

✔ NPI 1174917124 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.

4 MEDICAL DR, Elberton, GA 30635

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Other Identifiers 1

Medicaid9999999GA

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)

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

Clinicians Billing Medicare Through This Organization

136

Medicare enrollment records show 136 clinicians reassign Medicare billing to Southland Consolidated Emergency Services, LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 11

Emergency Medicine42

Nurse Practitioner38

Family Practice36

Internal Medicine10

General Practice3

Hospitalist2

Allergy/Immunology1

Obstetrics/Gynecology1

3 other specialties3

Nearest to this location (20)

See all 136

John Washington, MD

Emergency Medicine

NPI 1083627442

4 MEDICAL DR
Elberton, GA 30635

(706) 283-3151

✔ PECOS✔ Accepts Medicare2.3 mi

Matthew Davis, M.D.

Family Practice

NPI 1295172773

11 CHARLIE MORRIS RD
Colbert, GA 30628

(706) 788-2127

✔ PECOS✔ Accepts Medicare24 mi

Michael Martin, M.D.

Family Practice

NPI 1396727574

4120 HIGHWAY 24
Anderson, SC 29626

(864) 512-5830

✔ PECOS✔ Accepts Medicare27 mi

Helen Carrington, MD

Emergency Medicine

NPI 1295762169

120 GORDON ST
Washington, GA 30673

(706) 678-2151

✔ PECOS✔ Accepts Medicare28 mi

Nicholas Clemmons

Nurse Practitioner

NPI 1881357127

818 TABBY LN
Athens, GA 30605

(229) 449-4524

✔ PECOS✔ Accepts Medicare30 mi

Bobby Guess, FNP-C

Nurse Practitioner

NPI 1649839994

1199 PRINCE AVE
Athens, GA 30606

(706) 475-2660

✔ PECOS✔ Accepts Medicare34 mi

Larry Smith, MD

Allergy/Immunology

NPI 1619953569

330 HAWTHORNE LN
Athens, GA 30606

(706) 613-8500

✔ PECOS✔ Accepts Medicare35 mi

Harry Wingate, M.D.

Emergency Medicine

NPI 1972554699

2061 EXPERIMENT STATION RD STE 505
Watkinsville, GA 30677

(706) 310-0324

✔ PECOS✔ Accepts Medicare39 mi

Dennis Spencer

Obstetrics/Gynecology

NPI 1386723310

803 S MAIN ST
Greensboro, GA 30642

(706) 453-1201

✔ PECOS✔ Accepts Medicare44 mi

Claud Bugheni, MD

Emergency Medicine

NPI 1740966217

5121 WASHINGTON RD STE 2 PMB 105
Evans, GA 30809

(708) 666-9298

✔ PECOS✔ Accepts Medicare53 mi

Virginia Labella

Nurse Practitioner

NPI 1023460938

340 EXCHANGE BLVD STE 130
Bethlehem, GA 30620

(678) 963-7171

✔ PECOS✔ Accepts Medicare54 mi

Eddie Richardson, MD

Family Practice

NPI 1235107772

114 HARMONY XING STE 1
Eatonton, GA 31024

(706) 484-0884

✔ PECOS✔ Accepts Medicare54 mi

William Reid, MD

Emergency Medicine

NPI 1912922279

ALEXANDER MEDICAL GROUP, INC 4115 COLUMBIA RD STE 5-371
Martinez, GA 30907

(678) 953-0825

✔ PECOS✔ Accepts Medicare61 mi

Abebe Kassahun, MD

Family Practice

NPI 1689860355

2100 CENTRAL AVE SUITE 6 & 7
Augusta, GA 30904

(706) 736-5378

✔ PECOS✔ Accepts Medicare66 mi

Jillian Soto, MD

General Practice

NPI 1912499286

1120 15TH STREET
Augusta, GA 30912

(706) 721-3157

✔ PECOS✔ Accepts Medicare67 mi

Jina Anderson, NP

Nurse Practitioner

NPI 1609525492

1350 WALTON WAY
Augusta, GA 30901

(706) 774-5795

✔ PECOS✔ Accepts Medicare67 mi

Neeraja Chandrasekaran, M.D.

Preventive Medicine

NPI 1124442181

1350 WALTON WAY
Augusta, GA 30901

(706) 774-5795

✔ PECOS✔ Accepts Medicare67 mi

Carl Lift, MD

Internal Medicine

NPI 1386890697

212 PEEBLE HILL RD
Milledgeville, GA 31061

(706) 444-1050

✔ PECOS✔ Accepts Medicare77 mi

Chadwick Gaddis, D.O.

General Practice

NPI 1912295411

610 SPARTA RD
Sandersville, GA 31082

(678) 477-3891

✔ PECOS✔ Accepts Medicare78 mi

Tyrone Butler, MD

Hospitalist

NPI 1861874612

2855 OLD HIGHWAY 5
Blue Ridge, GA 30513

(706) 632-3711

✔ PECOS✔ Accepts Medicare98 mi

See all 136 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 Southland Consolidated Emergency Services, LLC's NPI number?

The NPI number for Southland Consolidated Emergency Services, LLC is 1174917124. It was assigned to this organization in the NPPES registry on March 26, 2015.

Where is Southland Consolidated Emergency Services, LLC located?

Southland Consolidated Emergency Services, LLC is located at 4 Medical Dr, Elberton, GA 30635. The listed phone number is (706) 283-3151.

What is Southland Consolidated Emergency Services, LLC's specialty?

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

Is Southland Consolidated Emergency Services, LLC enrolled in Medicare?

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

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

According to the CMS Revalidation Reassignment List (October 2026 release), 136 clinicians in 11 Medicare specialties reassign their Medicare billing to Southland Consolidated Emergency 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 Emergency Medicine (42), Nurse Practitioner (38) and Family Practice (36). Of these, 1 practice 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 Southland Consolidated Emergency Services, LLC was last updated on June 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.