NPIMap

Evergreen Medical Center LLC

A Medicare group practice based in Evergreen, AL: 6 NPIs enrolled under one PECOS associate control ID (PAC ID 6305942145), with 11 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
6305942145The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Home Health Agency, Part A Provider - Hospital, Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
Enrolled in
AL
Enrollments
8
Group size
4 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
9In 2 places

Enrollment records 8

Enrollment IDStateProvider typeNPI
O20070510000538 AL Part A Provider - Hospital 1891770368
O20071008000553 AL Part A Provider - Home Health Agency 1881677581
O20080310000628 AL Part B Supplier - Clinic/Group Practice 1891770368
O20080813000367 AL Part B Supplier - Clinic/Group Practice 1891770368
O20111115000107 AL Part A Provider - Hospital 1891770368
O20110322001092 AL Part A Provider - Rural Health Clinic 1427366871
O20210621002672 AL Part A Provider - Rural Health Clinic 1619559812
O20230908000297 AL Part B Supplier - Clinic/Group Practice 1619559812

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 11

Clinicians who reassign their Medicare benefits to this group (11) or whom Care Compare lists as members (4).

Sources for this page