Wayne Emergency Group LLC in Jesup, GA
This organization bills under NPI 1982828943, an organization record issued on Apr 12, 2007 with the primary taxonomy Emergency Medicine Physician. Each clinician who works there has their own NPI and license.
Organization recordNPPES, Aug 2026
1982828943
- Legal name
- Wayne Emergency Group LLC
- Entity
- Type 2 · organization
- Primary taxonomy
- Emergency Medicine Physician 207P00000X
- Practice location
- 865 S 1ST ST, Jesup, GA 31545
- Phone
- 912-427-6811
- Mailing address
- Lafayette, LA
- Enumerated
- Apr 12, 2007
- Record updated
- Mar 23, 2022
- Authorized official
- Vp Of Contracting (title as filed)
11 clinicians CMS lists with Wayne Emergency Group in Jesup
- Jaime Bass, NPFamily Nurse Practitioner1497441158
- Thomas Crutchfield, FNP-CFamily Nurse Practitioner1306565460
- Deepak Goyal, MDFamily Medicine Physician1891373379
- Eugene HarrisEmergency Medicine Physician1235344367
- Bobby Herrington, MDEmergency Medicine Physician1003860743
- Vernon Johnson, FNPFamily Nurse Practitioner1447823190
- Raul Lopez, MDEmergency Medicine Physician1760438832
- Josselynn Mallard, PA-CMedical Physician Assistant1053286146
- Brandi Mathis, FNPNurse Practitioner1700301538
- Chance Tiner, NPFamily Nurse Practitioner1750181889
- Grady White, NPFamily Nurse Practitioner1689187130
Source: CMS Doctors and Clinicians group affiliations, matched by practice name and city.
Checking an organization
- Confirm the business with the Georgia secretary of state.
- Check the HHS-OIG exclusion list for the organization.
- Verify each clinician on their own record and the state license search.
All taxonomies on this record
- 207P00000X Emergency Medicine Physician
- 363AM0700X Medical Physician Assistant
- 363L00000X Nurse Practitioner
Common questions
Why is the mailing address in Louisiana?
The mailing address in the record (Lafayette, LA) is where the organization receives mail. Care is given at the practice location in Jesup.
Is an organization NPI a license?
No. An NPI identifies who bills. Facilities and the clinicians who work there are licensed separately by the state.
Source: CMS National Plan and Provider Enumeration System (NPPES), monthly file of Aug 9, 2026 (NPPES files on CMS.gov). An NPI identifies who bills; it is not a license.