Athens Model Neighborhood Health Center Inc

A Medicare group practice based in Athens, GA: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 0042291270), with 15 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
0042291270The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
Enrolled in
GA
Enrollments
2
Group size
9 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
4In 1 place

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20040525001064 GA Part B Supplier - Clinic/Group Practice 1275751448
O20120918000596 GA Part A Provider - Federally Qualified Health Center (FQHC) 1093932683

NPIs in this group 3

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 15

Clinicians who reassign their Medicare benefits to this group (15) or whom Care Compare lists as members (9).

Sources for this page