NPIMap

South Health District

A Medicare group practice based in Valdosta, GA: 14 NPIs enrolled under one PECOS associate control ID (PAC ID 0648255018), with 4 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
0648255018The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice, Part B Supplier - Mass Immunization (Roster Biller Only)
Enrolled in
GA
Enrollments
2
Group size
3 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
16In 12 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20040621000728 GA Part B Supplier - Clinic/Group Practice 1295899524
O20050825000504 GA Part B Supplier - Mass Immunization (Roster Biller Only) 1922163815

NPIs in this group 14

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 4

Clinicians who reassign their Medicare benefits to this group (4) or whom Care Compare lists as members (3).

Sources for this page