NPIMap

McIntosh Trail Community Service Board

A Medicare group practice based in Griffin, GA: 6 NPIs enrolled under one PECOS associate control ID (PAC ID 6204818669), with 49 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
6204818669The 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
19 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
7In 5 places

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20040601001239 GA Part B Supplier - Clinic/Group Practice 1336317270

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 49

Clinicians who reassign their Medicare benefits to this group (49) or whom Care Compare lists as members (19).

Sources for this page