Montgomery Emergency Group, LLC
NPI 1861773764ActiveOrganization· Emergency Medicine· Vidalia, GA
Emergency Medicine in Vidalia, Georgia, registered in NPPES in September 2011. The authorized official on file is Lisha C. Falk, Vp Of Contracting. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1861773764 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 6, 2011 |
| Last updated in NPPES | Apr 4, 2023 |
| Certified by provider | Apr 4, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | — | — |
| Physician Assistant | 363A00000X | — | — |
| Nurse Practitioner | 363L00000X | — | — |
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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