NPIMap

Four Corners Primary Care Centers, Inc.

A Medicare group practice based in Lawrenceville, GA: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 1951497494), with 17 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
1951497494The 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
5
Group size
8 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
5In 3 places

Enrollment records 5

Enrollment IDStateProvider typeNPI
O20071015000519 GA Part A Provider - Federally Qualified Health Center (FQHC) 1265624548
O20080117000193 GA Part B Supplier - Clinic/Group Practice 1265624548
O20160519002463 GA Part A Provider - Federally Qualified Health Center (FQHC) 1548622285
O20150122001012 GA Part A Provider - Federally Qualified Health Center (FQHC) 1356682959
O20240912003032 GA Part A Provider - Federally Qualified Health Center (FQHC) 1285325282

NPIs in this group 4

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 17

Clinicians who reassign their Medicare benefits to this group (17) or whom Care Compare lists as members (8).

Sources for this page