Gordon Emergency Physicians, LLC
NPI 1205290467ActiveOrganization· Emergency Medicine· Calhoun, GA
Emergency Medicine in Calhoun, Georgia, registered in NPPES in April 2016. The authorized official on file is Kim H. Larsen, Director Of Credentialing. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1205290467 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 13, 2016 |
| Last updated in NPPES | Jan 30, 2020 |
| Certified by provider | Jan 30, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (GA) |
|---|
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