NPIMap

Coffee County Board of Health

A Medicare group practice based in Douglas, GA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 7416944087), with 10 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
7416944087The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice, Part B Supplier - Mass Immunization (Roster Biller Only)
Enrolled in
GA
Enrollments
2
Group size
3 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
O20091014000257 GA Part B Supplier - Mass Immunization (Roster Biller Only) 1952346074
O20040427000232 GA Part B Supplier - Clinic/Group Practice 1952346074

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 10

Clinicians who reassign their Medicare benefits to this group (10) or whom Care Compare lists as members (3).

Sources for this page