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: October 25, 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
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

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

Clinicians Billing Medicare Through This Organization

45

Medicare enrollment records show 45 clinicians reassign Medicare billing to Southland Optim Screven Emergency Medical Services LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 9

Nurse Practitioner13
Emergency Medicine11
Family Practice9
Internal Medicine6
General Practice2
General Surgery1
Hospitalist1
Obstetrics/Gynecology1
1 other specialty1

Nearest to this location (20)

See all 45
Family Practice
NPI 1518127687
213 MIMS ROAD
Sylvania, GA 30467
(912) 564-9285
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1205879301
105 ROCKY FORD RD
Sylvania, GA 30467
(912) 564-7133
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1548958648
931 E WINTHROPE AVE
Millen, GA 30442
(478) 982-4221
✔ PECOS17 mi
Nurse Practitioner
NPI 1972238772
905 TEEPEE WAY
Statesboro, GA 30461
(912) 541-3417
✔ PECOS23 mi
Family Practice
NPI 1770670259
107 CANAL ST
Pooler, GA 31322
(912) 355-6221
✔ PECOS✔ Accepts Medicare48 mi
Emergency Medicine
NPI 1689737686
200 GULF STREAM RD.
Garden City, GA 31418
(912) 963-2506
✔ PECOS✔ Accepts Medicare50 mi
Emergency Medicine
NPI 1811194483
1120 15TH ST
Augusta, GA 30912
(706) 721-3052
✔ PECOS✔ Accepts Medicare53 mi
Nurse Practitioner
NPI 1851935316
121 CHURCH ST
Vidalia, GA 30474
(912) 805-2705
✔ PECOS58 mi
Internal Medicine
NPI 1922057660
1002 N DOWNING MUSGROVE HWY
Glennville, GA 30427
(912) 654-4599
✔ PECOS✔ Accepts Medicare58 mi
Emergency Medicine
NPI 1912922279
ALEXANDER MEDICAL GROUP, INC 4115 COLUMBIA RD STE 5-371
Martinez, GA 30907
(678) 953-0825
✔ PECOS✔ Accepts Medicare58 mi
Internal Medicine
NPI 1083966709
5354 REYNOLDS ST STE 424
Savannah, GA 31405
(912) 819-5999
✔ PECOS✔ Accepts Medicare59 mi
Internal Medicine
NPI 1124475595
5354 REYNOLDS ST STE 424
Savannah, GA 31405
(912) 819-5999
✔ PECOS✔ Accepts Medicare59 mi
Nurse Practitioner
NPI 1770990145
4700 WATERS AVE
Savannah, GA 31404
(912) 350-3849
✔ PECOS59 mi
Emergency Medicine
NPI 1346391299
4700 WATERS AVENUE GEORIGA EMERGENCY MEDICINE SPECIALISTS
Savannah, GA 31404
(912) 350-3849
✔ PECOS✔ Accepts Medicare59 mi
Family Practice
NPI 1679673925
1061 HARMON AVE STE 1D03
Fort Stewart, GA 31314
(912) 435-6965
✔ PECOS✔ Accepts Medicare60 mi
Nurse Practitioner
NPI 1427027325
1061 HARMON AVE
Fort Stewart, GA 31314
(912) 435-6666
✔ PECOS✔ Accepts Medicare61 mi
Family Practice
NPI 1053571117
462 ELMA G MILES PKWY STE 102A
Hinesville, GA 31313
(912) 369-9313
✔ PECOS✔ Accepts Medicare62 mi
Nurse Practitioner
NPI 1891611786
462 ELMA G MILES PKWY
Hinesville, GA 31313
(912) 369-9400
✔ PECOS63 mi
General Practice
NPI 1699718056
1022 HILLCREST PKWY STE 104
Dublin, GA 31021
(478) 272-1463
✔ PECOS✔ Accepts Medicare76 mi
General Surgery
NPI 1104036359
11 CROSS ST
Hazlehurst, GA 31539
(912) 699-6530
✔ PECOS✔ Accepts Medicare83 mi
See all 45 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 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.

Is Southland Optim Screven Emergency Medical Services LLC enrolled in Medicare?

Yes. Southland Optim Screven Emergency Medical Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southland Optim Screven Emergency Medical Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 45 clinicians in 9 Medicare specialties reassign their Medicare billing to Southland Optim Screven 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 (13), Emergency Medicine (11) and Family Practice (9). Of these, 1 practice at this address and 2 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 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.