LAGRANGE EMERGENCY PHYSICIANS, LLC
NPI 1760437560
Emergency Medicine in Lagrange, GA

Active since May 23, 2006
1514 VERNON RD, LAGRANGE, GA 30240(706) 882-1411 Get Directions Write a Review

NPPES record last updated: February 5, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 5, 2020, Jan 30, 2020 (2 updates tracked since 2020).

About Lagrange Emergency Physicians, Llc NPPES

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

LAGRANGE EMERGENCY PHYSICIANS, LLC (NPI 1760437560) is a healthcare organization registered as an emergency medicine in Lagrange, Georgia and active in the NPI registry since May 2006. The organization lists Kim H Larsen, Director Of Credentialing, as its authorized official.

NPPES Registry Identity

NPI1760437560
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameLAGRANGE EMERGENCY PHYSICIANS, LLC
Location Address1514 VERNON RDLagrange, GA 30240-4131
Mailing AddressPo Box 21665Belfast, ME 04915-4113 · (770) 874-5400
Organization SubpartNo
Authorized OfficialKim H LarsenDirector Of Credentialing · (770) 874-5400
Enumeration DateMay 23, 2006
Last NPPES UpdateFebruary 5, 20202 updates tracked since enumeration
✔ NPI 1760437560 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.
1514 VERNON RD, Lagrange, GA 30240

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Medicare Revalidation Due Date

Revalidation due by February 28, 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 IDO20060314000271Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

142

Medicare enrollment records show 142 clinicians reassign Medicare billing to Lagrange Emergency Physicians, LLC, which bills Medicare for the services they deliver. Of these, 10 practice at this address and 17 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 9

Emergency Medicine85
Nurse Practitioner44
Family Practice6
Internal Medicine2
Critical Care (Intensivists)1
General Practice1
Hospice/Palliative Care1
Hospitalist1
1 other specialty1

Nearest to this location (20)

See all 142
Nurse Practitioner
NPI 1306401260
1514 VERNON RD
Lagrange, GA 30240
(706) 882-1411
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1598269953
1514 VERNON RD
Lagrange, GA 30240
(706) 691-9671
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1679722672
1514 VERNON RD
Lagrange, GA 30240
(706) 882-1411
✔ PECOS✔ Accepts MedicareSame address
Hospice/Palliative Care
NPI 1295026235
1514 VERNON RD
Lagrange, GA 30240
(706) 845-3905
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1629173695
1514 VERNON RD
Lagrange, GA 30240
(706) 882-1411
✔ PECOSSame address
Nurse Practitioner
NPI 1588017743
1514 VERNON RD
Lagrange, GA 30240
(706) 812-2369
✔ PECOSSame address
Emergency Medicine
NPI 1275929663
1514 VERNON RD
Lagrange, GA 30240
(706) 882-1411
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1780966515
1514 VERNON RD
Lagrange, GA 30240
(770) 874-6873
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1053635961
1514 VERNON RD
Lagrange, GA 30240
(706) 845-3706
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1194989285
1514 VERNON RD
Lagrange, GA 30240
(706) 812-2369
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1013487065
300 MEDICAL DR STE 705
Lagrange, GA 30240
(706) 803-7960
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1801362355
300 MEDICAL DR STE 705
Lagrange, GA 30240
(706) 803-7960
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1437762747
1602 VERNON RD STE 400
Lagrange, GA 30240
(068) 829-3417
✔ PECOS0.3 mi
Hospitalist
NPI 1629463500
WELLSTAR WEST GEORGIA MEDICAL CENTER 1504 VERNON ROAD
Lagrange, GA 30240
(706) 884-2655
✔ PECOS✔ Accepts Medicare1.1 mi
Nurse Practitioner
NPI 1750735619
2169 W POINT RD
Lagrange, GA 30240
(706) 668-5140
✔ PECOS✔ Accepts Medicare1.2 mi
Nurse Practitioner
NPI 1427427517
303 SMITH ST
Lagrange, GA 30240
(706) 882-8831
✔ PECOS✔ Accepts Medicare1.6 mi
Nurse Practitioner
NPI 1356959001
303 SMITH ST
Lagrange, GA 30240
(706) 882-8831
✔ PECOS✔ Accepts Medicare1.6 mi
Nurse Practitioner
NPI 1164845731
5358 KEITH RD
Hogansville, GA 30230
(706) 523-1175
✔ PECOS✔ Accepts Medicare13 mi
Nurse Practitioner
NPI 1659606440
11 MEDICAL PARK
Valley, AL 36854
(334) 756-4860
✔ PECOS16 mi
Nurse Practitioner
NPI 1740858422
12297 COUNTY ROAD 65
Roanoke, AL 36274
(423) 620-2184
✔ PECOS✔ Accepts Medicare24 mi
See all 142 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 Lagrange Emergency Physicians, LLC's NPI number?

The NPI number for Lagrange Emergency Physicians, LLC is 1760437560. It was assigned to this organization in the NPPES registry on May 23, 2006.

Where is Lagrange Emergency Physicians, LLC located?

Lagrange Emergency Physicians, LLC is located at 1514 Vernon Rd, Lagrange, GA 30240. The listed phone number is (706) 882-1411.

What is Lagrange Emergency Physicians, LLC's specialty?

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

Is Lagrange Emergency Physicians, LLC enrolled in Medicare?

Yes. Lagrange Emergency Physicians, LLC is registered in the Medicare PECOS enrollment system.

When is Lagrange Emergency Physicians, LLC'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 February 28, 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 Lagrange Emergency Physicians, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 142 clinicians in 9 Medicare specialties reassign their Medicare billing to Lagrange Emergency Physicians, 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 (85), Nurse Practitioner (44) and Family Practice (6). Of these, 10 practice at this address and 17 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 Lagrange Emergency Physicians, LLC was last updated on February 5, 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.