NPIMap

Camden County Board of Health

A Medicare group practice based in Kingsland, GA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 1052358611), with 2 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
1052358611The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice, Part B Supplier - Public Health/Welfare Agency
Enrolled in
GA
Enrollments
2
Group size
2 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
2In 1 place

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20070307000012 GA Part B Supplier - Public Health/Welfare Agency 1083605737
O20250502001395 GA Part B Supplier - Clinic/Group Practice 1083605737

NPIs in this group 2

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 2

Clinicians who reassign their Medicare benefits to this group (2) or whom Care Compare lists as members (2).

Sources for this page