South Georgia Medical Center Inc

A Medicare group practice based in Valdosta, GA: 7 NPIs enrolled under one PECOS associate control ID (PAC ID 1052764677), with 110 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
1052764677The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Critical Access Hospital, Part A Provider - Hospital, Part A Provider - Skilled Nursing Facility, Part B Supplier - Clinic/Group Practice
Enrolled in
GA
Enrollments
8
Group size
58 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
35In 3 places

Enrollment records 8

Enrollment IDStateProvider typeNPI
O20240131001327 GA Part A Provider - Critical Access Hospital 1215703632
O20240514000755 GA Part B Supplier - Clinic/Group Practice 1144096553
O20240409003369 GA Part A Provider - Hospital 1144096553
O20240410002397 GA Part A Provider - Hospital 1598531907
O20240409004745 GA Part A Provider - Hospital 1689440091
O20240410003462 GA Part A Provider - Hospital 1497521801
O20240322004363 GA Part A Provider - Critical Access Hospital 1851167274
O20240328003959 GA Part A Provider - Skilled Nursing Facility 1396511713

NPIs in this group 7

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 110

Page 1 of 2

Clinicians who reassign their Medicare benefits to this group (110) or whom Care Compare lists as members (58).

Sources for this page