| 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 |
|---|---|---|
| Dodge County Hospital | Eastman, GA | Hospital |
| Sgmc Berrien Campus | Nashville, GA | Hospital |
| Sgmc Lanier Campus | Lakeland, GA | Hospital |
| Burke Medical Center | Waynesboro, GA | Hospital |
| Phoebe Worth Medical Center | Sylvester, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southland Tn Emergency Medical Services Llc | 5395267132 | 9 |
| Southland Emergency Medical Services Consolidated, Llc | 4183871320 | 47 |
| Southland Cochran Emergency Medical Services Llc | 9638398027 | 17 |
| Southland Hawkinsville Emergency Medical Services, Llc | 2769600642 | 13 |
| Southland Optim Screven Emergency Medical Services Llc | 9739480021 | 18 |
| Southland Burke Emergency Medical Services, Llc | 9537547401 | 18 |
| Southland Consolidated Emergency Services Llc | 2860792066 | 65 |
| Southland Bainbridge Hospitalist Group, Llc | 7214248335 | 57 |
| Southland Optim Jenkins Emergency Medical Services, Llc | 9537461538 | 20 |
| Southland Dodge Emergency Medical Services, Llc | 8224360805 | 10 |
| Southland Emergency Medical Services Llc | 3779701743 | 24 |
| Entity Name | Southland Tn Emergency Medical Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518773712 PECOS PAC ID: 5395267132 Enrollment ID: O20250320003178 |
| 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: Accepting Medicare Assignments 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 |