NPI age
10 years
Enumerated 2015-11-23
● Active Type 2 · Organization
Prime Healthcare Foundation - Southern Regional, Llc
Prime Healthcare Foundation - Southern Regional, Llc is 1 of 309 general acute care hospital organizations in Georgia.
Primary specialty
General Acute Care Hospital
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Doan
Managing Associate General Counsel
Last NPPES update
2021-09-14
Source: monthly bulk 2026-05
How this organization compares
Across 309 active general acute care hospital providers in Georgia.
NPI age
10 years
↓ 8 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 10% of peers with subspecialties
NPI lifetime · 2015 → 2026
2015-11Enumerated in NPPES
2015
2026
Where they practice
Primary practice location
11 Upper Riverdale Rd Sw
Riverdale, GA 302742615
Mailing address
11 Upper Riverdale Rd Sw
Riverdale, GA 302742615
Authorized official
Christopher Doan
Managing Associate General Counsel
📞 3102594706
Individual providers at this organization
20 individual providers on file at this primary practice address.
- Gena Abrams-Cardoza, P.T. Physical Therapist NPI 1649470105
- Adegboyega Aderibigbe, M.D. Pediatrics NPI 1912960048
- Jumoke Alim, MD Emergency Medicine NPI 1548212830
- Bashar Alramahi, MD Surgery NPI 1881045268
- David Asrael, MD Emergency Medicine NPI 1386694511
- John Black, MD Radiology NPI 1548247729
- Geetha Bommana, MD Internal Medicine NPI 1811475114
- Aparna Bondalapati Student in an Organized Health Care Education/Training Program NPI 1487408480
- Michael Bourland, MD Emergency Medicine NPI 1194885673
- Harold Brusman, M.D. Pathology NPI 1699737163
- Christopher Campo, MD Pathology NPI 1316183031
- Joleen Dako, MD Pediatrics NPI 1710294491
- Ida Dunn, NP Nurse Practitioner NPI 1811947112
- Carrie Edwards Emergency Medicine NPI 1598715856
- Laleh Ehsani, M.D. Pathology NPI 1811286446
- Amarachi Ekeh-Clarke, MD Internal Medicine NPI 1184477812
- Anthonia Ekpenike, M.B.B.S Internal Medicine NPI 1659577484
- Akeem Flemister, M.D. Emergency Medicine NPI 1376806455
- Antonio Gomes, PA Physician Assistant NPI 1861410490
- Elizabeth Hadley, MD Radiology NPI 1447237656
Specialties
-
General Acute Care Hospital PrimaryAn acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital...
-
Internal MedicineAn internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00000404A |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Southern Regional Medical Center
Practice context
Multi-provider organization. 20 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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