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

Montgomery Emergency Group, LLC

Organization Emergency Medicine Physician · NPI 1861773764

Montgomery Emergency Group, LLC is an Emergency Medicine Physician in Vidalia, Georgia. Registered with an NPI since 2011.

In the registry since
2011
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

1 Meadows Pkwy
Vidalia, GA 30474-8759
Phone: (912) 535-5555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1861773764
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisha Falk — Vp Of Contracting · (337) 609-1221
NPI enumeratedSeptember 6, 2011
Last updated in NPPESApril 4, 2023
Certification dateApril 4, 2023
Mailing address200 Corporate Blvd, Lafayette, LA 70508-3870

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