GEORGIA EM-I MEDICAL SERVICE PC
NPI 1184990202
Nurse Practitioner in Snellville, GA

Active since March 23, 2012
1700 MEDICAL WAY, SNELLVILLE, GA 30078(770) 979-0200 Get Directions Write a Review

NPPES record last updated: March 22, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Georgia Em-i Medical Service Pc NPPES

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

GEORGIA EM-I MEDICAL SERVICE PC (NPI 1184990202) is a healthcare organization registered as a nurse practitioner in Snellville, Georgia and active in the NPI registry since March 2012. The organization lists Karen Vaughn, Officer, as its authorized official.

NPPES Registry Identity

NPI1184990202
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameGEORGIA EM-I MEDICAL SERVICE PC
Location Address1700 MEDICAL WAYSnellville, GA 30078-2195
Mailing Address18167 Us Highway 19 North Suite 650Clearwater, FL 33764-3528 · (800) 507-8874 · Fax (727) 536-2896
Organization SubpartNo
Authorized OfficialKaren VaughnOfficer · (973) 251-1132
Enumeration DateMarch 23, 2012
Last NPPES UpdateMarch 22, 2023
NPPES CertifiedMarch 22, 2023
✔ NPI 1184990202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedEmergency MedicineTaxonomy 207P00000X
Also ListedPhysician AssistantTaxonomy 363A00000X
1700 MEDICAL WAY, Snellville, GA 30078

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Georgia Em-i Medical Service Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateGeorgiaEnrollment IDO20031218000621Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

131

Medicare enrollment records show 131 clinicians reassign Medicare billing to Georgia Em-I Medical Service PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 6 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Nurse Practitioner95
Physician Assistant23
Emergency Medicine12
Internal Medicine1

Nearest to this location (20)

See all 131
Physician Assistant
NPI 1033237722
1700 MEDICAL WAY
Snellville, GA 30078
(770) 332-1234
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1326691171
3511 SKYLAND RIDGE CT
Loganville, GA 30052
(770) 235-6478
✔ PECOS✔ Accepts Medicare3.7 mi
Nurse Practitioner
NPI 1164953279
1825 ROCKBRIDGE RD STE 15B
Stone Mountain, GA 30087
(470) 444-3134
✔ PECOS✔ Accepts Medicare7.0 mi
Nurse Practitioner
NPI 1619083797
4589 LAWRENCEVILLE RD
Loganville, GA 30052
(770) 466-8672
✔ PECOS8.0 mi
Nurse Practitioner
NPI 1669914008
3650 STEVE REYNOLDS BLVD
Duluth, GA 30096
(404) 365-0966
✔ PECOS✔ Accepts Medicare8.0 mi
Physician Assistant
NPI 1043459613
1735 N BROWN RAOD HEALTH CARE PARTNERS
Lawrenceville, GA 30043
(352) 383-4505
✔ PECOS✔ Accepts Medicare8.7 mi
Physician Assistant
NPI 1730431313
2801 N. DECATUR ROAD SUITE 200
Decatur, GA 30033
(404) 719-4219
✔ PECOS✔ Accepts Medicare16 mi
Emergency Medicine
NPI 1275579922
2701 NORTH DECATUR ROAD
Decatur, GA 30033
(404) 501-1849
✔ PECOS16 mi
Nurse Practitioner
NPI 1295090801
1775 PARKER RD SE STE C210
Conyers, GA 30094
(770) 776-8280
✔ PECOS✔ Accepts Medicare16 mi
Nurse Practitioner
NPI 1518444926
865 N HIGHLAND AVE NE
Atlanta, GA 30306
(404) 733-6089
✔ PECOS✔ Accepts Medicare20 mi
Nurse Practitioner
NPI 1932483344
8735 DUNWOODY PL STE R
Atlanta, GA 30350
(678) 438-7321
✔ PECOS✔ Accepts Medicare21 mi
Nurse Practitioner
NPI 1639826373
5126 HOSPITAL DR NE
Covington, GA 30014
(678) 255-7149
✔ PECOS✔ Accepts Medicare21 mi
Nurse Practitioner
NPI 1326765918
5126 HOSPITAL DR NE
Covington, GA 30014
(770) 786-7053
✔ PECOS✔ Accepts Medicare21 mi
Nurse Practitioner
NPI 1255766341
5126 HOSPITAL DR NE
Covington, GA 30014
(770) 385-4414
✔ PECOS✔ Accepts Medicare21 mi
Nurse Practitioner
NPI 1902267271
303 PARKWAY DR NE
Atlanta, GA 30312
(404) 265-4000
✔ PECOS22 mi
Emergency Medicine
NPI 1720176704
1968 PEACHTREE RD NW
Atlanta, GA 30309
(404) 605-3297
✔ PECOS✔ Accepts Medicare22 mi
Nurse Practitioner
NPI 1578892071
550 PEACHTREE ST NE BLDG 324
Atlanta, GA 30308
(404) 686-1000
✔ PECOS✔ Accepts Medicare22 mi
Nurse Practitioner
NPI 1467472589
49 JESSE HILL JR DR SE
Atlanta, GA 30303
(404) 251-8921
✔ PECOS✔ Accepts Medicare22 mi
Physician Assistant
NPI 1275943961
235 PEACHTREE ST NE
Atlanta, GA 30303
(770) 994-9326
✔ PECOS✔ Accepts Medicare23 mi
Nurse Practitioner
NPI 1073143533
13110 GREYWOLF LN
Covington, GA 30014
(754) 551-4480
✔ PECOS✔ Accepts Medicare23 mi
See all 131 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 Georgia Em-I Medical Service PC's NPI number?

The NPI number for Georgia Em-I Medical Service PC is 1184990202. It was assigned to this organization in the NPPES registry on March 23, 2012.

Where is Georgia Em-I Medical Service PC located?

Georgia Em-I Medical Service PC is located at 1700 Medical Way, Snellville, GA 30078. The listed phone number is (770) 979-0200.

What is Georgia Em-I Medical Service PC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Georgia Em-I Medical Service PC enrolled in Medicare?

Yes. Georgia Em-I Medical Service PC is registered in the Medicare PECOS enrollment system.

When is Georgia Em-I Medical Service PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Georgia, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Georgia Em-I Medical Service PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 131 clinicians in 4 Medicare specialties reassign their Medicare billing to Georgia Em-I Medical Service PC. 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 (95), Physician Assistant (23) and Emergency Medicine (12). Of these, 1 practice at this address and 6 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 Georgia Em-I Medical Service PC was last updated on March 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.