Southlight Healthcare

A Medicare group practice based in Raleigh, NC: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 6901947613), with 30 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
6901947613The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice, Part B Supplier - Opioid Treatment Program (Otp)
Enrolled in
NC
Enrollments
2
Group size
16 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
5In 3 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20100104000134 NC Part B Supplier - Clinic/Group Practice 1316268345
O20200414000182 NC Part B Supplier - Opioid Treatment Program (Otp) 1932300019

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 30

Clinicians who reassign their Medicare benefits to this group (30) or whom Care Compare lists as members (16).

Sources for this page