NPIMap

Department of Behavioral Health and Developmental Disabilities

A Medicare group practice based in Decatur, GA: 8 NPIs enrolled under one PECOS associate control ID (PAC ID 7416002506), with 177 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
7416002506The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Hospital, Part B Supplier - Clinic/Group Practice
Enrolled in
GA
Enrollments
2
Group size
15 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
8In 7 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20090825000435 GA Part B Supplier - Clinic/Group Practice 1902030307
O20100603000673 GA Part A Provider - Hospital 1124254941

NPIs in this group 8

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 177

Page 1 of 2

Clinicians who reassign their Medicare benefits to this group (177) or whom Care Compare lists as members (15).

Sources for this page