BONITA EMERGENCY GROUP, LLC
NPI 1992563969
Emergency Medicine in Meridian, MS

Q: What is Bonita Emergency Group, LLC's NPI number?

The NPI number for Bonita Emergency Group, LLC is 1992563969. It was assigned to this organization in the NPPES registry on March 13, 2024.

Q: What is Bonita Emergency Group, LLC's specialty?

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

Active since March 13, 2024

1314 19TH AVE, MERIDIAN, MS 39301(601) 483-0011(601) 483-4384 Get Directions Write a Review

NPPES record last updated: March 13, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Bonita Emergency Group, Llc NPPES

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

BONITA EMERGENCY GROUP, LLC (NPI 1992563969) is a healthcare organization registered as an emergency medicine in Meridian, Mississippi and active in the NPI registry since March 2024. The organization lists Lisha C Falk, Vp Of Contracting, as its authorized official.

NPPES Registry Identity

NPI1992563969

Entity TypeOrganization

Primary Taxonomy207P00000X

Legal Business NameBONITA EMERGENCY GROUP, LLC

Location Address1314 19TH AVEMeridian, MS 39301-4116

Mailing Address200 Corporate BlvdLafayette, LA 70508-3870 · (800) 893-9698

Phone(601) 483-0011

Fax(601) 483-4384

Organization SubpartNo

Authorized OfficialLisha C FalkVp Of Contracting · (337) 609-1221

Enumeration DateMarch 13, 2024

NPPES CertifiedMarch 13, 2024

✔ NPI 1992563969 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

1314 19TH AVE, Meridian, MS 39301

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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.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)

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 36 clinicians reassign Medicare billing to Bonita Emergency Group, LLC, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 15 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 3

Nurse Practitioner28

Emergency Medicine7

Family Practice1

Nearest to this location (20)

See all 36

Shelby Harper, FNP-BC/AG-ACNP-BC

Nurse Practitioner

NPI 1912581257