Toombs County Board of Health

A Medicare group practice based in Lyons, GA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 4183612732), with 8 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4183612732The 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
May accept Medicare assignment
Practice locations
2In 1 place

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20040504000055 GA Part B Supplier - Clinic/Group Practice 1831112879
O20111004000598 GA Part B Supplier - Mass Immunization (Roster Biller Only) 1558390757

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 8

Clinicians who reassign their Medicare benefits to this group (8) or whom Care Compare lists as members (3).

Sources for this page