NPIMap

En LLC

A Medicare group practice based in Ringgold, GA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 4385989557), with 28 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4385989557The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
GA, TN
Enrollments
2
Group size
16 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
4In 4 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20181215000458 TN Part B Supplier - Clinic/Group Practice 1770075582
O20190904002371 GA Part B Supplier - Clinic/Group Practice 1548829187

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 28

Clinicians who reassign their Medicare benefits to this group (28) or whom Care Compare lists as members (16).

Sources for this page