NPIMap

Active Life Health of Alpharetta LLC

A Medicare group practice based in Alpharetta, GA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 4880082817), with 10 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4880082817The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Physician - General Practice, Part B Supplier - Clinic/Group Practice
Enrolled in
GA
Enrollments
2
Group size
5 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
O20211025002693 GA Part B Supplier - Clinic/Group Practice 1629747951
O20220624002057 GA DME Supplier - Physician - General Practice 1265101596

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 10

Clinicians who reassign their Medicare benefits to this group (10) or whom Care Compare lists as members (5).

Sources for this page