OrganizationActive
Bonita Emergency Group, LLC
NPI 1992563969 · Emergency Medicine Physician · Meridian, MS
Provider details
- NPI number
- 1992563969
- Entity type
- Organization
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lisha Falk, Vp of Contracting(337) 609-1221
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1314 19th Ave
Meridian, MS 39301-4116
Phone: (601) 483-0011
Fax: (601) 483-4384
Approximate (ZIP-level) locationGet directions
Mailing address
200 Corporate Blvd
Lafayette, LA 70508-3870
Registry dates
- Enumerated
- 2024-03-13
- Last updated
- 2024-03-13
- Certified
- 2024-03-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.