NPIMap

Ethne Health, Inc

A Medicare group practice based in Clarkston, GA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 5092054940), with 13 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
5092054940The 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
2
Group size
6 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
3In 1 place

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20190311002940 GA Part B Supplier - Clinic/Group Practice 1538646054
O20250319000527 GA Part A Provider - Federally Qualified Health Center (FQHC) 1538646054

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 13

Clinicians who reassign their Medicare benefits to this group (13) or whom Care Compare lists as members (6).

Sources for this page