SOUTHLAND EMS AT MADISON, PLLC
NPI 1801024880
Emergency Medicine in Madison, FL

Active since June 29, 2009
224 NW CRANE AVE, MADISON, FL 32340(850) 973-2271 Get Directions Write a Review

NPPES record last updated: September 7, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Southland Ems At Madison, Pllc NPPES

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

SOUTHLAND EMS AT MADISON, PLLC (NPI 1801024880) is a healthcare organization registered as an emergency medicine in Madison, Florida and active in the NPI registry since June 2009. The organization lists Paul Hart, Director, as its authorized official.

NPPES Registry Identity

NPI1801024880
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameSOUTHLAND EMS AT MADISON, PLLC
Location Address224 NW CRANE AVEMadison, FL 32340-1400
Mailing AddressPo Box 5218Niceville, FL 32578-5218 · (850) 897-7244
Organization SubpartNo
Authorized OfficialPaul HartDirector · (205) 907-2586
Enumeration DateJune 29, 2009
Last NPPES UpdateSeptember 7, 2022
NPPES CertifiedSeptember 7, 2022
✔ NPI 1801024880 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.
224 NW CRANE AVE, Madison, FL 32340

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southland Ems At Madison, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

12

Medicare enrollment records show 12 clinicians reassign Medicare billing to Southland Ems At Madison, PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians by Medicare Specialty 2

Nurse Practitioner10
Family Practice2

Clinicians, nearest first (12)

Nurse Practitioner
NPI 1285371294
224 NW CRANE AVE
Madison, FL 32340
(850) 973-2271
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1376787580
1702 S JEFFERSON ST
Perry, FL 32348
(855) 577-5437
✔ PECOS27 mi
Nurse Practitioner
NPI 1144535840
3321 N VALDOSTA RD STE B
Valdosta, GA 31602
(229) 242-9310
✔ PECOS✔ Accepts Medicare29 mi
Nurse Practitioner
NPI 1730133521
100 S MADISON ST
Thomasville, GA 31792
(229) 498-1088
✔ PECOS✔ Accepts Medicare42 mi
Nurse Practitioner
NPI 1982152377
1121 NW 64TH TER SUITE A
Gainesville, FL 32605
(352) 331-3583
✔ PECOS✔ Accepts Medicare82 mi
Nurse Practitioner
NPI 1255961249
10405 SW 122ND ST
Gainesville, FL 32608
(352) 702-2972
✔ PECOS✔ Accepts Medicare85 mi
Nurse Practitioner
NPI 1770998890
922 E CALL ST
Starke, FL 32091
(904) 368-2300
✔ PECOS✔ Accepts Medicare87 mi
Nurse Practitioner
NPI 1659739571
20370 NE BURNS AVE
Blountstown, FL 32424
(850) 674-5411
✔ PECOS✔ Accepts Medicare97 mi
Family Practice
NPI 1841393840
20370 NE BURNS AVE
Blountstown, FL 32424
(850) 674-5411
✔ PECOS✔ Accepts Medicare97 mi
Nurse Practitioner
NPI 1760988307
615 N BONITA AVE
Panama City, FL 32401
(850) 769-1511
✔ PECOS✔ Accepts Medicare135 mi
Family Practice
NPI 1629021415
2190 HIGHWAY 85 N
Niceville, FL 32578
(850) 729-9407
✔ PECOS✔ Accepts Medicare184 mi
Nurse Practitioner
NPI 1780062604
20274 CENTRAL AVE W
Blountstown, FL 32424
(850) 353-7689
✔ PECOS✔ Accepts Medicare

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 Southland Ems At Madison, PLLC's NPI number?

The NPI number for Southland Ems At Madison, PLLC is 1801024880. It was assigned to this organization in the NPPES registry on June 29, 2009.

Where is Southland Ems At Madison, PLLC located?

Southland Ems At Madison, PLLC is located at 224 NW Crane Ave, Madison, FL 32340. The listed phone number is (850) 973-2271.

What is Southland Ems At Madison, PLLC's specialty?

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

Is Southland Ems At Madison, PLLC enrolled in Medicare?

Yes. Southland Ems At Madison, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southland Ems At Madison, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 2 Medicare specialties reassign their Medicare billing to Southland Ems At Madison, PLLC. 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 (10) and Family Practice (2). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Southland Ems At Madison, PLLC was last updated on September 7, 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.