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KINGSFORD EMERGENCY GROUP, LLC
NPI 1336631480
Emergency Medicine in Pulaski, VA

Active since June 05, 2018
2400 LEE HWY N, PULASKI, VA 24301(540) 994-8100 Get Directions Write a Review

NPPES record last updated: March 23, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kingsford Emergency Group, Llc NPPES

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

KINGSFORD EMERGENCY GROUP, LLC (NPI 1336631480) is a healthcare organization registered as an emergency medicine in Pulaski, Virginia and active in the NPI registry since June 2018. The organization lists Lisha C Falk, Vp Of Contracting, as its authorized official.

NPPES Registry Identity

NPI1336631480
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameKINGSFORD EMERGENCY GROUP, LLC
Location Address2400 LEE HWY NPulaski, VA 24301-2326
Mailing Address200 Corporate BlvdLafayette, LA 70508-3870 · (800) 893-9698
Phone(540) 994-8100
Organization SubpartNo
Authorized OfficialLisha C FalkVp Of Contracting · (337) 609-1221
Enumeration DateJune 5, 2018
Last NPPES UpdateMarch 23, 2022
NPPES CertifiedMarch 23, 2022
✔ NPI 1336631480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
2400 LEE HWY N, Pulaski, VA 24301
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Other Identifiers 1

Medicaid1336631480VA

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)

Kingsford Emergency Group, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

66

Medicare enrollment records show 66 clinicians reassign Medicare billing to Kingsford Emergency Group, LLC, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 8 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

Emergency Medicine46
Nurse Practitioner10
Family Practice5
Internal Medicine3
General Practice1
Osteopathic Manipulative Medicine1

Nearest to this location (20)

See all 66
Bryan Clark, D.O.
Emergency Medicine
NPI 1194742643
2400 LEE HWY N
Pulaski, VA 24301
(540) 994-8100
✔ PECOS✔ Accepts MedicareSame address
Benjamin Davidson, M.D.
Emergency Medicine
NPI 1255652723
2400 LEE HWY N
Pulaski, VA 24301
(540) 994-8100
✔ PECOS✔ Accepts MedicareSame address
Erin Dove, M.D.
Family Practice
NPI 1992750947
2400 LEE HWY N
Pulaski, VA 24301
(540) 994-8100
✔ PECOS✔ Accepts MedicareSame address
Melanie Hudgins, NP
Nurse Practitioner
NPI 1558714253
2400 LEE HWY N
Pulaski, VA 24301
(540) 994-8100
✔ PECOS✔ Accepts MedicareSame address
Karl Kletzing, M.D.
Emergency Medicine
NPI 1598982753
2400 LEE HWY N
Pulaski, VA 24301
(540) 994-8100
✔ PECOS✔ Accepts MedicareSame address
Paul Offerman, M.D.
Emergency Medicine
NPI 1962466458
2400 LEE HWY N
Pulaski, VA 24301
(540) 994-8100
✔ PECOS✔ Accepts MedicareSame address
Saqib Shah, MD
Internal Medicine
NPI 1730101593
2400 LEE HWY N
Pulaski, VA 24301
(540) 994-8100
✔ PECOS✔ Accepts MedicareSame address
Windy Hundley, NP-C
Nurse Practitioner
NPI 1801981337
101 1ST STREET NW
Pulaski, VA 24301
(540) 980-0550
✔ PECOS✔ Accepts Medicare2.1 mi
Kristie Jackson, NP
Nurse Practitioner
NPI 1053407817
3700 SOUTH MAIN STREET
Blacksburg, VA 24060
(540) 953-5385
✔ PECOS✔ Accepts Medicare21 mi
Dennis Cotellese, N.P.
Nurse Practitioner
NPI 1922173327
3700 S MAIN ST
Blacksburg, VA 24060
(540) 951-1111
✔ PECOS✔ Accepts Medicare21 mi
Brian Ekey, D.O.
Emergency Medicine
NPI 1346408150
3700 S MAIN ST LEWIS GALE MONTGOMERY EMERGENCY
Blacksburg, VA 24060
(540) 953-5122
✔ PECOS✔ Accepts Medicare21 mi
Judy Altizer, FNP
Nurse Practitioner
NPI 1821303728
3700 S MAIN ST
Blacksburg, VA 24060
(540) 953-5122
✔ PECOS21 mi
Joseph Cacioppo, DO
Emergency Medicine
NPI 1093743817
3700 S MAIN ST
Blacksburg, VA 24060
(540) 951-1111
✔ PECOS✔ Accepts Medicare21 mi
Casey Graybill, NP
Nurse Practitioner
NPI 1265075642
3700 S MAIN ST
Blacksburg, VA 24060
(540) 951-1111
✔ PECOS✔ Accepts Medicare21 mi
Milissa Smith, NP
Nurse Practitioner
NPI 1760853477
3700 S MAIN ST
Blacksburg, VA 24060
(540) 381-1279
✔ PECOS✔ Accepts Medicare21 mi
Jane Weiseman, MD
Emergency Medicine
NPI 1740226240
3700 S MAIN ST
Blacksburg, VA 24060
(540) 951-1111
✔ PECOS✔ Accepts Medicare21 mi
Scott Wright, MD
Internal Medicine
NPI 1801814678
961 E STUART DR
Galax, VA 24333
(276) 236-9953
✔ PECOS28 mi
Joel Haling, MD
Emergency Medicine
NPI 1801979711
200 HOSPITAL DR
Galax, VA 24333
(276) 236-8181
✔ PECOS✔ Accepts Medicare29 mi
Libeneur Loriston, DO
Osteopathic Manipulative Medicine
NPI 1124640461
1900 ELECTRIC RD
Salem, VA 24153
(540) 776-4000
✔ PECOS✔ Accepts Medicare42 mi
Yousef Nikzai, DO
General Practice
NPI 1235879677
1900 ELECTRIC RD
Salem, VA 24153
(703) 498-9921
✔ PECOS✔ Accepts Medicare42 mi
See all 66 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 Kingsford Emergency Group, LLC's NPI number?

The NPI number for Kingsford Emergency Group, LLC is 1336631480. It was assigned to this organization in the NPPES registry on June 5, 2018.

Where is Kingsford Emergency Group, LLC located?

Kingsford Emergency Group, LLC is located at 2400 Lee Hwy N, Pulaski, VA 24301. The listed phone number is (540) 994-8100.

What is Kingsford Emergency Group, LLC's specialty?

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

Is Kingsford Emergency Group, LLC enrolled in Medicare?

Yes. Kingsford Emergency Group, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kingsford Emergency Group, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 66 clinicians in 6 Medicare specialties reassign their Medicare billing to Kingsford Emergency Group, 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 (46), Nurse Practitioner (10) and Family Practice (5). Of these, 7 practice at this address and 8 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 Kingsford Emergency Group, LLC was last updated on March 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.