| Johnathan E Gaskins, MD | |
|
1101 Ocilla Rd, Douglas, GA 31533 | |
| (912) 384-1900 | |
| (912) 389-2105 |
| Full Name | Johnathan E Gaskins |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 23 Years |
| Location | 1101 Ocilla Rd, Douglas, Georgia |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528169190 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 056836 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sgmc Berrien Campus | Nashville, GA | Hospital |
| Dodge County Hospital | Eastman, GA | Hospital |
| Phoebe Worth Medical Center | Sylvester, GA | Hospital |
| Burke Medical Center | Waynesboro, GA | Hospital |
| Sgmc Lanier Campus | Lakeland, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southland Consolidated Emergency Services Llc | 2860792066 | 56 |
| Southland Emergency Medical Services Consolidated, Llc | 4183871320 | 37 |
| Southland Bainbridge Hospitalist Group, Llc | 7214248335 | 47 |
| Southland Dodge Emergency Medical Services, Llc | 8224360805 | 13 |
| Southland Optim Jenkins Emergency Medical Services, Llc | 9537461538 | 17 |
| Southland Burke Emergency Medical Services, Llc | 9537547401 | 19 |
| Southland Cochran Emergency Medical Services Llc | 9638398027 | 14 |
| Southland Optim Screven Emergency Medical Services Llc | 9739480021 | 17 |
| Southland Tn Emergency Medical Services Llc | 5395267132 | 11 |
| Entity Name | Phoebe Putney Memorial Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992789721 PECOS PAC ID: 4486559549 Enrollment ID: O20031203000397 |
| Entity Name | Phoebe Worth Medical Center, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760460448 PECOS PAC ID: 0840104527 Enrollment ID: O20040205000529 |
| Entity Name | Clinch County Hospital Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861478851 PECOS PAC ID: 7416849922 Enrollment ID: O20040329000922 |
| Entity Name | Southland-nashville Emergency Services, Llc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639467038 PECOS PAC ID: 9133390214 Enrollment ID: O20110921000500 |
| Entity Name | Southland Emergency Medical Services Consolidated, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033464391 PECOS PAC ID: 4183871320 Enrollment ID: O20120823000503 |
| Entity Name | Southland - Lakeland Medical Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821341397 PECOS PAC ID: 5890947980 Enrollment ID: O20121219000267 |
| Entity Name | Coffee Emergency Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023353489 PECOS PAC ID: 4880834050 Enrollment ID: O20130711000400 |
| Entity Name | Southland Emergency Medical Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477701472 PECOS PAC ID: 3779701743 Enrollment ID: O20140904001715 |
| Entity Name | Southland Hawkinsville Emergency Medical Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891100962 PECOS PAC ID: 2769600642 Enrollment ID: O20140908000486 |
| Entity Name | Southland Cochran Emergency Medical Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205241395 PECOS PAC ID: 9638398027 Enrollment ID: O20140917001247 |
| Entity Name | Southland Taylor Hospitalist Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093120909 PECOS PAC ID: 6800015959 Enrollment ID: O20140922002775 |
| Entity Name | Southland Bainbridge Hospitalist Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356735336 PECOS PAC ID: 7214248335 Enrollment ID: O20150616002069 |
| Entity Name | Southland Consolidated Emergency Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174917124 PECOS PAC ID: 2860792066 Enrollment ID: O20151119001289 |
| Entity Name | Southland Optim Screven Emergency Medical Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174917157 PECOS PAC ID: 9739480021 Enrollment ID: O20151210000476 |
| Entity Name | Southland Optim Jenkins Emergency Medical Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265826242 PECOS PAC ID: 9537461538 Enrollment ID: O20160107002680 |
| Entity Name | Southland Chatuge Emergency Medical Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881127942 PECOS PAC ID: 5294003844 Enrollment ID: O20170622001904 |
| Entity Name | Southland Union Emergency Medical Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164954715 PECOS PAC ID: 8224308770 Enrollment ID: O20170717002347 |
| Entity Name | Wills Memorial Emergency Medical Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275066326 PECOS PAC ID: 9335419563 Enrollment ID: O20170720003399 |
| Entity Name | Southland Clinch Emergency Medical Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093223778 PECOS PAC ID: 7810242575 Enrollment ID: O20180620002069 |
| Entity Name | Southland Dodge Emergency Medical Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851958607 PECOS PAC ID: 8224360805 Enrollment ID: O20191031001338 |
| Entity Name | Southland Burke Emergency Medical Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235885815 PECOS PAC ID: 9537547401 Enrollment ID: O20220606000360 |
| Mailing Address | Practice Location Address |
|---|---|
| Johnathan E Gaskins, MD Po Box 1287, 1101 Ocilla Rd, Douglas, GA 31533 Ph: (912) 384-1900 | Johnathan E Gaskins, MD 1101 Ocilla Rd, Douglas, GA 31533 Ph: (912) 384-1900 |
Mark Thomas Brulte, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Doctors Dr, Suite 106, Douglas, GA 31533 Phone: 912-384-3338 Fax: 912-389-0979 | |
Debra B Lister, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1101 Ocilla Rd, Douglas, GA 31533 Phone: 912-384-1900 Fax: 912-389-2105 | |
Dr. Jeffery Thomas Winge, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 205 Shirley Ave, Douglas, GA 31533 Phone: 912-383-6966 Fax: 912-389-2108 | |
Dr. Charles Francis Cowart, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1101 Ocilla Rd, Douglas, GA 31533 Phone: 912-384-1900 Fax: 912-384-6885 | |
Ross Glenn Moorman Iii, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2104 Redbird Trail, Douglas, GA 31533 Phone: 912-260-2287 |