Park Springs LLC

A Medicare group practice based in Stone Mountain, GA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 7810961380), with 8 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
7810961380The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Skilled Nursing Facility, Part B Supplier - Clinic/Group Practice
Enrolled in
GA
Enrollments
2
Group size
4 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
O20041203000292 GA Part B Supplier - Clinic/Group Practice 1962628669
O20140102001638 GA Part A Provider - Skilled Nursing Facility 1184605693

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 8

Clinicians who reassign their Medicare benefits to this group (8) or whom Care Compare lists as members (4).

Sources for this page