NPIMap

Liberty County Board of Health

A Medicare group practice based in Hinesville, GA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 6204724420), with 7 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
6204724420The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice, Part B Supplier - Public Health/Welfare Agency
Enrolled in
GA
Enrollments
2
Group size
2 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
O20040309000899 GA Part B Supplier - Clinic/Group Practice 1245546704
O20050328000464 GA Part B Supplier - Public Health/Welfare Agency 1407839061

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 7

Clinicians who reassign their Medicare benefits to this group (7) or whom Care Compare lists as members (2).

Sources for this page