Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lavonia Physician Services, LLC

Organization Hospitalist Physician · NPI 1992174692

Lavonia Physician Services, LLC is a Hospitalist Physician in Lavonia, Georgia. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

367 Clear Creek Pkwy
Lavonia, GA 30553-4173
Phone: (800) 893-9698
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1992174692
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ryan Domengeaux — General Council · (800) 893-9698
NPI enumeratedSeptember 23, 2015
Last updated in NPPESSeptember 23, 2015
Mailing address200 Corporate Blvd, Lafayette, LA 70508-3870

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