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SOUTHLAND OPTIM SCREVEN EMERGENCY MEDICAL SERVICES LLC
NPI 1174917157
Emergency Medicine in Sylvania, GA

Active since March 27, 2015
215 MIMS RD, SYLVANIA, GA 30467(229) 236-0831(229) 236-0871 Get Directions Write a Review

NPPES record last updated: March 27, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southland Optim Screven Emergency Medical Services Llc NPPES

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

SOUTHLAND OPTIM SCREVEN EMERGENCY MEDICAL SERVICES LLC (NPI 1174917157) is a healthcare organization registered as an emergency medicine in Sylvania, Georgia and active in the NPI registry since March 2015. The organization lists Stephanie Fletcher, Cfo, as its authorized official.

NPPES Registry Identity

NPI1174917157
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameSOUTHLAND OPTIM SCREVEN EMERGENCY MEDICAL SERVICES LLC
Location Address215 MIMS RDSylvania, GA 30467-1994
Mailing Address100 S Madison StThomasville, GA 31792-5473 · (229) 236-0831 · Fax (229) 236-0871
Phone(229) 236-0831
Fax(229) 236-0871
Organization SubpartNo
Authorized OfficialStephanie FletcherCfo · (229) 520-7115
Enumeration DateMarch 27, 2015
✔ NPI 1174917157 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.
215 MIMS RD, Sylvania, GA 30467
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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

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAKOTA MICHELLE LEE RN
Registered Nurse
215 MIMS RD
SYLVANIA, GA 30467
Screven County (912) 451-3000
MRS. MYLISSA MCGAHA GREGORY PA-C
Physician Assistant
215 MIMS RD
SYLVANIA, GA 30467
Screven County (912) 564-7426
SCREVEN COUNTY HOSPITAL LLC
Medicare Defined Swing Bed Unit
215 MIMS RD
SYLVANIA, GA 30467
Screven County (912) 564-7426
ASHLYN NICOLE BAZEMORE LPN
Licensed Practical Nurse
215 MIMS RD
SYLVANIA, GA 30467
Screven County (912) 564-7426
MRS. SHANNON M THOMAS CRNA
Nurse Anesthetist, Certified Registered
215 MIMS RD
SYLVANIA, GA 30467
Screven County (912) 564-5253
MRS. ANNE DAVIS NP
Nurse Practitioner
215 MIMS RD
SYLVANIA, GA 30467
Screven County (912) 451-3000
SCREVEN COUNTY HOSPITAL, LLC
General Acute Care Hospital (Critical Access)
215 MIMS RD
SYLVANIA, GA 30467
Screven County (912) 564-7426
SCREVEN COUNTY HOSPITAL
General Acute Care Hospital (Critical Access)
215 MIMS RD
SYLVANIA, GA 30467
Screven County (912) 564-7426

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 Optim Screven Emergency Medical Services LLC's NPI number?

The NPI number for Southland Optim Screven Emergency Medical Services LLC is 1174917157. It was assigned to this organization in the NPPES registry on March 27, 2015.

Where is Southland Optim Screven Emergency Medical Services LLC located?

Southland Optim Screven Emergency Medical Services LLC is located at 215 Mims Rd, Sylvania, GA 30467. The listed phone number is (229) 236-0831.

What is Southland Optim Screven Emergency Medical Services LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Southland Optim Screven Emergency Medical Services LLC was last updated on March 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.