# GEORGIA EM-I MEDICAL SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255213005
- **Authorized official:** CHRISTOPHER KENNEDY (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (207) 807-9009

## Contact information

- **Practice address:** 5126 HOSPITAL DR NE, COVINGTON, GA 30014-2566
- **Practice address phone:** (954) 939-5000
- **Practice address fax:** (877) 250-6889
- **Mailing address:** PO BOX 781326, PHILADELPHIA, PA 19178-1326
- **Mailing address phone:** (954) 939-5000
- **Mailing address fax:** (877) 250-6889

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | — | — | Yes |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 07/23/2025
- **Last updated:** 08/25/2026
