NPIMap

Wayne SJC Medical Group LLC

A Medicare group practice based in Jesup, GA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 5496901811), with 14 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
5496901811The 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
10 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
4In 2 places

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20120817000029 GA Part B Supplier - Clinic/Group Practice 1538421177

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

Merit-based Incentive Payment System (MIPS)

Medicare Care Compare
Final score
75 of 100Reported as group

Clinicians 14

Clinicians who reassign their Medicare benefits to this group (14) or whom Care Compare lists as members (10).

Sources for this page