THE BORTOLAZZO GROUP, LLC
NPI 1801965082
Emergency Medicine in Austell, GA

Q: What is The Bortolazzo Group, LLC's NPI number?

The NPI number for The Bortolazzo Group, LLC is 1801965082. It was assigned to this organization in the NPPES registry on November 6, 2006.

Q: What is The Bortolazzo Group, LLC's specialty?

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

Active since November 06, 2006

3950 AUSTELL RD, AUSTELL, GA 30106(770) 732-4000 Get Directions Write a Review

NPPES record last updated: February 5, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About The Bortolazzo Group, Llc NPPES

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

THE BORTOLAZZO GROUP, LLC (NPI 1801965082) is a healthcare organization registered as an emergency medicine in Austell, Georgia and active in the NPI registry since November 2006. The organization maintains 3 additional practice locations and lists Kim H Larsen, Director Of Credentialing, as its authorized official.

NPPES Registry Identity

NPI1801965082

Entity TypeOrganization

Primary Taxonomy207P00000X

Legal Business NameTHE BORTOLAZZO GROUP, LLC

Location Address3950 AUSTELL RDAustell, GA 30106-1121

Mailing AddressPo Box 22085Belfast, ME 04915-4117 · (770) 874-5400

Phone(770) 732-4000

Organization SubpartNo

Authorized OfficialKim H LarsenDirector Of Credentialing · (770) 874-5400

Enumeration DateNovember 6, 2006

Last NPPES UpdateFebruary 5, 2020

✔ NPI 1801965082 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.

3950 AUSTELL RD, Austell, GA 30106

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Secondary Practice Locations 3

Location 1677 Church St NEMarietta, GA 30060-1101 · Phone (770) 793-5000

Location 22518 Jimmy Lee Smith PkwyHiram, GA 30141-2068 · Phone (470) 644-7000

Location 38954 Hospital DrDouglasville, GA 30134-2272 · Phone (770) 949-1500

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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.

MRS. JOLI ANN WILSON D.O.

Pediatrics