SOUTHLAND DODGE EMERGENCY MEDICAL SERVICES, LLC
NPI 1851958607
Emergency Medicine in Eastman, GA

Active since May 28, 2019
901 GRIFFIN AVE, EASTMAN, GA 31023(478) 448-4000 Get Directions Write a Review

NPPES record last updated: June 11, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 11, 2019, May 28, 2019 (2 updates tracked since 2019).

About Southland Dodge Emergency Medical Services, Llc NPPES

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

SOUTHLAND DODGE EMERGENCY MEDICAL SERVICES, LLC (NPI 1851958607) is a healthcare organization registered as an emergency medicine in Eastman, Georgia and active in the NPI registry since May 2019. The organization lists Stephanie Fletcher, Cfo, as its authorized official.

NPPES Registry Identity

NPI1851958607
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameSOUTHLAND DODGE EMERGENCY MEDICAL SERVICES, LLC
Location Address901 GRIFFIN AVEEastman, GA 31023-6720
Mailing AddressPo Box 1276Thomasville, GA 31799-1276 · (229) 236-0831 · Fax (229) 236-0871
Organization SubpartNo
Authorized OfficialStephanie FletcherCfo · (229) 236-0831
Enumeration DateMay 28, 2019
Last NPPES UpdateJune 11, 20192 updates tracked since enumeration
✔ NPI 1851958607 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.
901 GRIFFIN AVE, Eastman, GA 31023

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 Dodge Emergency Medical Services, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

31

Medicare enrollment records show 31 clinicians reassign Medicare billing to Southland Dodge Emergency Medical Services, LLC, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 8

Family Practice11
Emergency Medicine9
Internal Medicine5
General Surgery2
General Practice1
Obstetrics/Gynecology1
Ophthalmology1
Thoracic Surgery1

Nearest to this location (20)

See all 31
General Practice
NPI 1699718056
1022 HILLCREST PKWY STE 104
Dublin, GA 31021
(478) 272-1463
✔ PECOS✔ Accepts Medicare29 mi
Emergency Medicine
NPI 1528047016
163 S TALLAHASSEE ST
Hazlehurst, GA 31539
(912) 375-7781
✔ PECOS✔ Accepts Medicare40 mi
General Surgery
NPI 1104036359
11 CROSS ST
Hazlehurst, GA 31539
(912) 699-6530
✔ PECOS✔ Accepts Medicare41 mi
Emergency Medicine
NPI 1992277354
11248 US HIGHWAY 341
Fort Valley, GA 31030
(770) 547-3447
✔ PECOS✔ Accepts Medicare42 mi
Emergency Medicine
NPI 1528169190
1101 OCILLA RD
Douglas, GA 31533
(912) 384-1900
✔ PECOS50 mi
Family Practice
NPI 1962750323
1400 COLEMAN AVE
Macon, GA 31207
(478) 301-2700
✔ PECOS52 mi
Internal Medicine
NPI 1386890697
212 PEEBLE HILL RD
Milledgeville, GA 31061
(706) 444-1050
✔ PECOS✔ Accepts Medicare59 mi
General Surgery
NPI 1326086984
315 N COBB ST
Milledgeville, GA 31061
(478) 453-0230
✔ PECOS62 mi
Family Practice
NPI 1194760744
407 N PARRISH AVE
Adel, GA 31620
(229) 896-1672
✔ PECOS✔ Accepts Medicare73 mi
Ophthalmology
NPI 1497729834
410 DARLING AVE
Waycross, GA 31501
(912) 287-2513
✔ PECOS82 mi
Family Practice
NPI 1841434255
1900 TEBEAU STREET
Waycross, GA 31501
(912) 338-6438
✔ PECOS82 mi
Thoracic Surgery
NPI 1780624445
104 W NORTHSIDE DR
Valdosta, GA 31602
(229) 333-0300
✔ PECOS✔ Accepts Medicare91 mi
Obstetrics/Gynecology
NPI 1386723310
803 S MAIN ST
Greensboro, GA 30642
(706) 453-1201
✔ PECOS✔ Accepts Medicare95 mi
Family Practice
NPI 1427146125
1631 HIGHWAY 20 W
Mcdonough, GA 30253
(770) 288-2822
✔ PECOS✔ Accepts Medicare103 mi
Emergency Medicine
NPI 1619028255
100 S MADISON ST
Thomasville, GA 31792
(229) 236-0831
✔ PECOS✔ Accepts Medicare104 mi
Emergency Medicine
NPI 1518182625
1051 TALBOTTON RD
Columbus, GA 31904
(706) 718-9527
✔ PECOS✔ Accepts Medicare107 mi
Emergency Medicine
NPI 1912922279
ALEXANDER MEDICAL GROUP, INC 4115 COLUMBIA RD STE 5-371
Martinez, GA 30907
(678) 953-0825
✔ PECOS✔ Accepts Medicare112 mi
Family Practice
NPI 1770670259
107 CANAL ST
Pooler, GA 31322
(912) 355-6221
✔ PECOS✔ Accepts Medicare113 mi
Internal Medicine
NPI 1083966709
5354 REYNOLDS ST STE 424
Savannah, GA 31405
(912) 819-5999
✔ PECOS✔ Accepts Medicare122 mi
Internal Medicine
NPI 1124475595
5354 REYNOLDS ST STE 424
Savannah, GA 31405
(912) 819-5999
✔ PECOS✔ Accepts Medicare122 mi
See all 31 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 Southland Dodge Emergency Medical Services, LLC's NPI number?

The NPI number for Southland Dodge Emergency Medical Services, LLC is 1851958607. It was assigned to this organization in the NPPES registry on May 28, 2019.

Where is Southland Dodge Emergency Medical Services, LLC located?

Southland Dodge Emergency Medical Services, LLC is located at 901 Griffin Ave, Eastman, GA 31023. The listed phone number is (478) 448-4000.

What is Southland Dodge Emergency Medical Services, LLC's specialty?

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

Is Southland Dodge Emergency Medical Services, LLC enrolled in Medicare?

Yes. Southland Dodge Emergency Medical Services, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southland Dodge Emergency Medical Services, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 31 clinicians in 8 Medicare specialties reassign their Medicare billing to Southland Dodge Emergency Medical Services, 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 Family Practice (11), Emergency Medicine (9) and Internal Medicine (5). 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 Dodge Emergency Medical Services, LLC was last updated on June 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.