GEORGIA EM-I MEDICAL SERVICE PC
NPI 1639796212
Emergency Medicine in Riverdale, GA

Active since June 30, 2020
11 UPPER RIVERDALE RD SW, RIVERDALE, GA 30274(770) 991-8000 Get Directions Write a Review

NPPES record last updated: June 30, 2020. 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 1639796212) is a healthcare organization registered as an emergency medicine in Riverdale, Georgia and active in the NPI registry since June 2020. The organization lists Gregory J Byrne, Md/ao/officer, as its authorized official.

NPPES Registry Identity

NPI1639796212
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameGEORGIA EM-I MEDICAL SERVICE PC
Location Address11 UPPER RIVERDALE RD SWRiverdale, GA 30274-2615
Mailing Address5565 Centerview Dr Ste 107Raleigh, NC 27606-3563 · (973) 251-1132
Organization SubpartNo
Authorized OfficialGregory J ByrneMd/ao/officer · (973) 251-1132
Enumeration DateJune 30, 2020
NPPES CertifiedJune 30, 2020
✔ NPI 1639796212 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
11 UPPER RIVERDALE RD SW, Riverdale, GA 30274

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, 2 practice 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
Nurse Practitioner
NPI 1740839513
6330 RIVERDALE RD
Atlanta, GA 30349
(770) 438-8446
✔ PECOS✔ Accepts Medicare2.5 mi
Nurse Practitioner
NPI 1205207388
5095 MOUNT ZION PKWY
Stockbridge, GA 30281
(401) 652-9787
✔ PECOS✔ Accepts Medicare6.5 mi
Nurse Practitioner
NPI 1356053714
1255 HIGHWAY 54 W
Fayetteville, GA 30214
(404) 309-2767
✔ PECOS✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1467472589
49 JESSE HILL JR DR SE
Atlanta, GA 30303
(404) 251-8921
✔ PECOS✔ Accepts Medicare12 mi
Emergency Medicine
NPI 1265507818
347 BROADMOOR WAY
Mcdonough, GA 30253
(770) 653-6804
✔ PECOS✔ Accepts Medicare12 mi
Physician Assistant
NPI 1275943961
235 PEACHTREE ST NE
Atlanta, GA 30303
(770) 994-9326
✔ PECOS✔ Accepts Medicare12 mi
Nurse Practitioner
NPI 1902267271
303 PARKWAY DR NE
Atlanta, GA 30312
(404) 265-4000
✔ PECOS13 mi
Nurse Practitioner
NPI 1578892071
550 PEACHTREE ST NE BLDG 324
Atlanta, GA 30308
(404) 686-1000
✔ PECOS✔ Accepts Medicare13 mi
Nurse Practitioner
NPI 1518444926
865 N HIGHLAND AVE NE
Atlanta, GA 30306
(404) 733-6089
✔ PECOS✔ Accepts Medicare14 mi
Emergency Medicine
NPI 1275579922
2701 NORTH DECATUR ROAD
Decatur, GA 30033
(404) 501-1849
✔ PECOS16 mi
Emergency Medicine
NPI 1720176704
1968 PEACHTREE RD NW
Atlanta, GA 30309
(404) 605-3297
✔ PECOS✔ Accepts Medicare16 mi
Nurse Practitioner
NPI 1407866775
1631 HIGHWAY 20 W
Mcdonough, GA 30253
(770) 288-2822
✔ PECOS16 mi
Physician Assistant
NPI 1730431313
2801 N. DECATUR ROAD SUITE 200
Decatur, GA 30033
(404) 719-4219
✔ PECOS✔ Accepts Medicare16 mi
Nurse Practitioner
NPI 1295090801
1775 PARKER RD SE STE C210
Conyers, GA 30094
(770) 776-8280
✔ PECOS✔ Accepts Medicare22 mi
Nurse Practitioner
NPI 1851075808
69 WOODLAKE DR
Newnan, GA 30265
(770) 846-8897
✔ PECOS✔ Accepts Medicare22 mi
Nurse Practitioner
NPI 1164953279
1825 ROCKBRIDGE RD STE 15B
Stone Mountain, GA 30087
(470) 444-3134
✔ PECOS✔ Accepts Medicare23 mi
Nurse Practitioner
NPI 1356516272
3950 AUSTELL RD
Austell, GA 30106
(404) 290-4840
✔ PECOS23 mi
Emergency Medicine
NPI 1205935343
3950 AUSTELL RD
Austell, GA 30106
(770) 732-4000
✔ PECOS✔ Accepts Medicare23 mi
Nurse Practitioner
NPI 1235865478
3950 AUSTELL RD
Austell, GA 30106
(770) 732-4000
✔ PECOS✔ Accepts Medicare23 mi
Nurse Practitioner
NPI 1437566973
5665 NEW NORTHSIDE DR SUITE 320
Atlanta, GA 30328
(770) 874-5446
✔ PECOS23 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 1639796212. It was assigned to this organization in the NPPES registry on June 30, 2020.

Where is Georgia Em-I Medical Service PC located?

Georgia Em-I Medical Service PC is located at 11 Upper Riverdale Rd SW, Riverdale, GA 30274. The listed phone number is (770) 991-8000.

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

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

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, 2 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 Georgia Em-I Medical Service PC was last updated on June 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.