OrganizationActive
Gordonia Emergency Physicians
NPI 1497953822 · Emergency Medicine Physician · Reidsville, GA
Provider details
- NPI number
- 1497953822
- Entity type
- Organization
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jennifer Provasnik, Supervisor of Provider Enrollment(800) 355-0808
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
247 S Main St
Reidsville, GA 30453-4605
Phone: (912) 557-1000
Street-level locationGet directions
Mailing address
Po Box 41631
Philadelphia, PA 19101-1631
Registry dates
- Enumerated
- 2007-07-06
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.