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

Individual provider Emergency Medicine Physician · NPI 1528047016

Vijay K. Mahathre, MD is an Emergency Medicine in Hazlehurst, Georgia. Qualified in 1981, 45 years ago. Practices with Southland Emergency Medical Services Consolidated, LLC, a 46-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
45
Licensed in
GA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

163 S Tallahassee St
Hazlehurst, GA 31539-6465
Phone: (912) 375-7781
Fax: (912) 375-4055
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 41612 (GA)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 041612 (GA)

Record details

NPI number1528047016
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 12, 2006
Last updated in NPPESDecember 11, 2019
Certification dateDecember 11, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 1981 (45 years in practice)
Group practice Southland Emergency Medical Services Consolidated, Llc — 46 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Hazlehurst