GEORGIA EMERGENCY ASSOCIATES – Emergency Medicine Physician, NPI 1528098290
Emergency Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for GEORGIA EMERGENCY ASSOCIATES
s, MEX-200, Colonia La Joya, Colonia Paraiso Escondido, Rincon de Guayabitos, Compostela, Nayarit, 63726, Mexico
RINCON, GA 313269416
Phone: (912) 295-2133
Type: Mailing
Candler Hospital, 5353, Reynolds Street, Groveland, Kensington Park, Savannah, Chatham County, Georgia, 31405, United States
SAVANNAH, GA 314056015
Phone: (912) 295-2133
Type: Location
5629 HWY. 21 SOUTH
RINCON, GA 313269416
Phone: (912) 295-2133
Fax: (912) 428-5055
Type: Mailing
1499 Fair Rd
Statesboro, GA 304581683
Phone: (912) 295-2133
Type: Location
11705 Mercy Blvd
Savannah, GA 314191711
Phone: (912) 295-2133
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: 2003-12-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
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 |
|---|---|---|---|---|
| O20031201000427 | O | Clinic/Group Practice | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
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 31326)
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