UNITED EMERGENCY SERVICES, INC. – Emergency Medicine Physician, NPI 1326007915
Emergency Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for UNITED EMERGENCY SERVICES, INC.
898 College St
Monticello, GA 310641258
Phone: (706) 468-6411
Type: Location
300 S Park Rd
Suite # 400
Hollywood, FL 330218593
Phone: (877) 693-5700
Type: Location
200 CORPORATE BLVD
LAFAYETTE, LA 705083870
Phone: (800) 893-9698
Type: Mailing
100 HOSPITAL ST
BOONEVILLE, MS 388293354
Phone: (662) 720-5000
Type: Location
861, Southwest 78th Avenue, Plantation, Broward County, Florida, 33324, United States
SUITE # 200B
PLANTATION, FL 333243273
Phone: (877) 693-5700
Type: Mailing
300, South Park Road, Hollywood, Broward County, Florida, 33021, United States
SUITE # 400
HOLLYWOOD, FL 330218593
Phone: (877) 693-5700
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-09-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-03-31 (803 days ago).
Enrollment records
3
Earliest due date
2024-03-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20040731000104 | O | Clinic/Group Practice | VA | 2024-03-31 |
| O20040819000058 | O | Clinic/Group Practice | GA | TBD |
| O20040903000729 | O | Clinic/Group Practice | MS | 2026-03-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 31064)
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