MONTGOMERY EMERGENCY GROUP, LLC
NPI 1861773764
Emergency Medicine in Vidalia, GA

Active since September 06, 2011
1 MEADOWS PKWY, VIDALIA, GA 30474(912) 535-5555 Get Directions Write a Review

NPPES record last updated: April 4, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 4, 2023, May 11, 2021, Jan 12, 2016 (3 updates tracked since 2016).

About Montgomery Emergency Group, Llc NPPES

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

MONTGOMERY EMERGENCY GROUP, LLC (NPI 1861773764) is a healthcare organization registered as an emergency medicine in Vidalia, Georgia and active in the NPI registry since September 2011. The organization lists Lisha C Falk, Vp Of Contracting, as its authorized official.

NPPES Registry Identity

NPI1861773764
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameMONTGOMERY EMERGENCY GROUP, LLC
Location Address1 MEADOWS PKWYVidalia, GA 30474-8759
Mailing Address200 Corporate BlvdLafayette, LA 70508-3870 · (800) 893-9698
Organization SubpartNo
Authorized OfficialLisha C FalkVp Of Contracting · (337) 609-1221
Enumeration DateSeptember 6, 2011
Last NPPES UpdateApril 4, 20233 updates tracked since enumeration
NPPES CertifiedApril 4, 2023
✔ NPI 1861773764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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 ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
1 MEADOWS PKWY, Vidalia, GA 30474

Other Identifiers 1

Medicaid003120276AGA

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

97

Medicare enrollment records show 97 clinicians reassign Medicare billing to Montgomery Emergency Group, LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 11 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

Emergency Medicine58
Nurse Practitioner23
Family Practice9
Internal Medicine5
Ophthalmology1
Osteopathic Manipulative Medicine1

Nearest to this location (20)

See all 97
Nurse Practitioner
NPI 1972287167
1 MEADOWS PKWY
Vidalia, GA 30474
(912) 535-5555
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1487004230
1 MEADOWS PKWY
Vidalia, GA 30474
(912) 535-5555
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1609507391
1 MEADOWS PKWY
Vidalia, GA 30474
(912) 535-5555
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1225907504
1 MEADOWS PKWY
Vidalia, GA 30474
(912) 535-5555
✔ PECOS✔ Accepts Medicare0.5 mi
Nurse Practitioner
NPI 1447792478
1608 MEADOWS LN STE 1
Vidalia, GA 30474
(912) 537-9488
✔ PECOS✔ Accepts Medicare0.5 mi
Nurse Practitioner
NPI 1275085508
303 HARRIS INDUSTRIAL BLVD STE 5
Vidalia, GA 30474
(912) 535-7000
✔ PECOS0.6 mi
Nurse Practitioner
NPI 1629608492
303 HARRIS INDUSTRIAL BLVD STE 5
Vidalia, GA 30474
(912) 535-7000
✔ PECOS✔ Accepts Medicare0.6 mi
Nurse Practitioner
NPI 1841855285
303 HARRIS INDUSTRIAL BLVD STE 5
Vidalia, GA 30474
(912) 535-7000
✔ PECOS✔ Accepts Medicare0.6 mi
Emergency Medicine
NPI 1508090366
303 HARRIS INDUSTRIAL BLVD STE 5
Vidalia, GA 30474
(912) 535-7000
✔ PECOS✔ Accepts Medicare0.6 mi
Nurse Practitioner
NPI 1740678739
101 HARRIS INDUSTRIAL BLVD SUITE A
Vidalia, GA 30474
(912) 535-3500
✔ PECOS✔ Accepts Medicare1.0 mi
Nurse Practitioner
NPI 1750914925
3193 E 1ST ST
Vidalia, GA 30474
(912) 537-8588
✔ PECOS✔ Accepts Medicare1.9 mi
Nurse Practitioner
NPI 1659922722
247 S MAIN ST
Reidsville, GA 30453
(912) 557-1000
✔ PECOS✔ Accepts Medicare18 mi
Emergency Medicine
NPI 1033278684
117 KITE RD
Swainsboro, GA 30401
(478) 289-1100
✔ PECOS27 mi
Nurse Practitioner
NPI 1437643517
162 JEKYLL RD
Baxley, GA 31513
(478) 401-0477
✔ PECOS✔ Accepts Medicare30 mi
Emergency Medicine
NPI 1023247723
1497 FAIR RD
Statesboro, GA 30458
(912) 486-1111
✔ PECOS✔ Accepts Medicare39 mi
Nurse Practitioner
NPI 1124737366
200 INDUSTRIAL BLVD
Dublin, GA 31021
(478) 274-3865
✔ PECOS✔ Accepts Medicare40 mi
Internal Medicine
NPI 1972608982
2104 REDBIRD TRAIL
Douglas, GA 31533
(912) 260-2287
✔ PECOS✔ Accepts Medicare55 mi
Ophthalmology
NPI 1497729834
410 DARLING AVE
Waycross, GA 31501
(912) 287-2513
✔ PECOS67 mi
Family Practice
NPI 1760499412
325 WEST MONTGOMERY CROSS ROAD
Savannah, GA 31406
(208) 989-0813
✔ PECOS75 mi
Family Practice
NPI 1689860355
2100 CENTRAL AVE SUITE 6 & 7
Augusta, GA 30904
(706) 736-5378
✔ PECOS✔ Accepts Medicare90 mi
See all 97 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 Montgomery Emergency Group, LLC's NPI number?

The NPI number for Montgomery Emergency Group, LLC is 1861773764. It was assigned to this organization in the NPPES registry on September 6, 2011.

Where is Montgomery Emergency Group, LLC located?

Montgomery Emergency Group, LLC is located at 1 Meadows Pkwy, Vidalia, GA 30474. The listed phone number is (912) 535-5555.

What is Montgomery Emergency Group, LLC's specialty?

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

Is Montgomery Emergency Group, LLC enrolled in Medicare?

Yes. Montgomery Emergency Group, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Montgomery Emergency Group, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 97 clinicians in 6 Medicare specialties reassign their Medicare billing to Montgomery Emergency Group, 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 (58), Nurse Practitioner (23) and Family Practice (9). Of these, 3 practice at this address and 11 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Montgomery Emergency Group, LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Montgomery Emergency Group, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Montgomery Emergency Group, LLC was last updated on April 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.