LAGRANGE EMERGENCY PHYSICIANS, LLC – Emergency Medicine Physician, NPI 1760437560

LAGRANGE EMERGENCY PHYSICIANS, LLC is a healthcare provider. based in Belfast, Maine. specializing in Emergency Medicine Physician. The NPI Number for LAGRANGE EMERGENCY PHYSICIANS, LLC is 1760437560

Main info

Organization
Name
LAGRANGE EMERGENCY PHYSICIANS, LLC
NPI
1760437560
Phone
(770) 874-5400
Address
PO BOX 21665
Authorized Official
KIM H LARSEN DIRECTOR OF CREDENTIALING
Enumeration Date
23 May 2006
Last Update Date
5 February 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:20State licenses:0Digital endpointsOther names

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Provider Addresses for LAGRANGE EMERGENCY PHYSICIANS, LLC

  • PO BOX 21665

    BELFAST, ME 049154113

    Phone: (770) 874-5400

    Type: Mailing

  • WellStar West Georgia Medical Center, 1514, Vernon Road, LaGrange, Troup County, Georgia, 30240, United States

    LAGRANGE, GA 302404131

    Phone: (706) 882-1411

    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: 2006-03-14

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20060314000271OClinic/Group PracticeGATBD

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.

Verify on CMS Revalidation Lookup Tool

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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 04915)

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Reviews

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Frequently asked questions

What NPI should I save for LAGRANGE EMERGENCY PHYSICIANS, LLC?
Save NPI 1760437560 if you need a stable reference for LAGRANGE EMERGENCY PHYSICIANS, LLC.
Is LAGRANGE EMERGENCY PHYSICIANS, LLC active in the national directory?
LAGRANGE EMERGENCY PHYSICIANS, LLC's public NPI profile is in an active state.
Can you summarize LAGRANGE EMERGENCY PHYSICIANS, LLC's specialty in plain language?
Clinically, the directory lists LAGRANGE EMERGENCY PHYSICIANS, LLC with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where does public data place LAGRANGE EMERGENCY PHYSICIANS, LLC?
The snapshot lists Belfast, Maine for LAGRANGE EMERGENCY PHYSICIANS, LLC; download NPPES for the complete set.
What if Belfast, Maine seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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