NPIMap

Lookout Mountain Community Services

A Medicare group practice based in Trenton, GA: 6 NPIs enrolled under one PECOS associate control ID (PAC ID 4880682822), with 28 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4880682822The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
GA
Enrollments
1
Group size
18 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
4In 4 places

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20040506000251 GA Part B Supplier - Clinic/Group Practice 1790782431

NPIs in this group 6

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 (18).

Sources for this page