NPI age
15 years
Enumerated 2011-03-10
● Active Type 2 · Organization
Fannin Emergency Group Llc
Fannin Emergency Group Llc is 1 of 1991 emergency medicine organizations in Georgia.
Primary specialty
Emergency Medicine
Plus 2 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Falk
Vp Of Contracting
Last NPPES update
2022-03-23
Source: monthly bulk 2026-05
How this organization compares
Across 1991 active emergency medicine providers in Georgia.
NPI age
15 years
↓ 2 yr below median
Practice locations
1
0 secondary on file
Subspecialties
2
In the 41% of peers with subspecialties
NPI lifetime · 2011 → 2026
2011-03Enumerated in NPPES
2011
2026
Where they practice
Primary practice location
2855 Old Highway 5
Blue Ridge, GA 305136248
Mailing address
200 Corporate Blvd
Lafayette, LA 705083870
Authorized official
Lisha C Falk
Vp Of Contracting
📞 3376091221
Individual providers at this organization
14 individual providers on file at this primary practice address.
- Vincent John Acunto, RN, FNP-C Nurse Practitioner NPI 1992391346
- Wayne Barth, P.T. Physical Therapist NPI 1881817039
- Mark Beattie, M.D. Radiology NPI 1477603173
- Tyrone Butler, MD Hospitalist NPI 1861874612
- Megan Cheatham, NP Nurse Practitioner NPI 1285344739
- Paul Conrad, MD Emergency Medicine NPI 1316982911
- Kimberly Cowan, CRNA Nurse Anesthetist, Certified Registered NPI 1205166519
- Herbert Flynn, MD Emergency Medicine NPI 1821046814
- Tanya Gregory Emergency Medical Technician, Intermediate NPI 1306648894
- Cynthia Griffith, RN, MHS, CRNA Nurse Anesthetist, Certified Registered NPI 1336108091
- Lynn Hall, RD/LD, CDE Dietitian, Registered NPI 1184991051
- Gary Hunt, MD Family Medicine NPI 1265436539
- Rodney Moore, MD Emergency Medicine NPI 1669420261
- David Neilsen, MD Emergency Medicine NPI 1023076270
Specialties
-
Emergency Medicine PrimaryAn 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....
-
Nurse Practitioner(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum...
-
Physician AssistantA physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | DR5653 | RR MEDICARE |
| 05 (GA) | 003109412A |
Practice context
Multi-provider organization. 14 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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