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SOUTHLAND MEDICAL GROUP, LLC
NPI 1790307908
Emergency Medicine in Blairsville, GA

Active since May 11, 2020
35 HOSPITAL RD, BLAIRSVILLE, GA 30512(229) 236-0831 Get Directions Write a Review

NPPES record last updated: May 11, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Southland Medical Group, Llc NPPES

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

SOUTHLAND MEDICAL GROUP, LLC (NPI 1790307908) is a healthcare organization registered as an emergency medicine in Blairsville, Georgia and active in the NPI registry since May 2020. The organization lists Stephanie Fletcher, Cfo, as its authorized official.

NPPES Registry Identity

NPI1790307908
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameSOUTHLAND MEDICAL GROUP, LLC
Location Address35 HOSPITAL RDBlairsville, GA 30512-3139
Mailing AddressPo Box 1276Thomasville, GA 31799-1276 · (229) 236-0831 · Fax (229) 236-0871
Phone(229) 236-0831
Organization SubpartNo
Authorized OfficialStephanie FletcherCfo · (229) 236-0831
Enumeration DateMay 11, 2020
NPPES CertifiedMay 11, 2020
✔ NPI 1790307908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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 ListedHospitalistTaxonomy 208M00000X
35 HOSPITAL RD, Blairsville, GA 30512
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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

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSE RAY MAYO FNP-C
Nurse Practitioner (Family)
35 HOSPITAL RD
BLAIRSVILLE, GA 30512
Union County (706) 439-6860
DR. SCOTT WELLS AINSWORTH MD
Internal Medicine (Gastroenterology)
35 HOSPITAL RD
BLAIRSVILLE, GA 30512
Union County (706) 745-8800
GASTROENTEROLOGY OF NORTHEAST GEORGIA PC
Internal Medicine (Gastroenterology)
35 HOSPITAL RD
BLAIRSVILLE, GA 30512
Union County (706) 745-8800
LEWIS ANTHONY STANLEY CRNA
Nurse Anesthetist, Certified Registered
35 HOSPITAL RD
BLAIRSVILLE, GA 30512
Union County (706) 745-2111
JAMES PORTWOOD PA-C
Physician Assistant
35 HOSPITAL RD
BLAIRSVILLE, GA 30512
Union County (607) 329-3787
MS. JAYNEE LEE FULLER ARNP
Nurse Practitioner
35 HOSPITAL RD
BLAIRSVILLE, GA 30512
Union County (706) 747-1036
UNION COUNTY HOSPITAL AUTHORITY
Otolaryngology
35 HOSPITAL RD
BLAIRSVILLE, GA 30512
Union County (706) 745-2111
SOUTHLAND UNION EMERGENCY MEDICAL SERVICES, LLC
Emergency Medicine (Emergency Medical Services)
35 HOSPITAL RD
BLAIRSVILLE, GA 30512
Union County (229) 236-0831

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 Medical Group, LLC's NPI number?

The NPI number for Southland Medical Group, LLC is 1790307908. It was assigned to this organization in the NPPES registry on May 11, 2020.

Where is Southland Medical Group, LLC located?

Southland Medical Group, LLC is located at 35 Hospital Rd, Blairsville, GA 30512. The listed phone number is (229) 236-0831.

What is Southland Medical Group, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Southland Medical Group, LLC was last updated on May 11, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.