Compassus Op of Georgia II LLC
A Medicare group practice based in Macon, GA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 8123303344), with 5 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 8123303344
- Provider type
- Part A Provider - Hospice, Part B Supplier - Clinic/Group Practice
- Enrolled in
- GA
- Enrollments
- 2
- Group size
- 3 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 4
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20170330000015 | GA | Part A Provider - Hospice | 1376093534 |
| O20190911003924 | GA | Part B Supplier - Clinic/Group Practice | 1053877993 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Compassus Op of Georgia II LLC
dba Compassus Hospice and Palliative Care - Macon
- Hospice and Palliative Medicine (Family Medicine) Physician
- Macon, GA
- NPI 1053877993
-
Compassus Op of Georgia II LLC
- Community Based Hospice Care Agency
- Macon, GA
- NPI 1376093534
Practice locations
- Dublin, GA2
- Macon, GA2
Clinicians 5
Clinicians who reassign their Medicare benefits to this group (5) or whom Care Compare lists as members (3).
-
Charlotte Elizabeth Grayson- Mathis, M.D.
- Internal Medicine Physician
- Fayetteville, GA
- NPI 1497779391
-
Clyde O. Green, MD
- Family Medicine Physician
- Macon, GA
- NPI 1417178187
-
Amanda Miller, FNP
- Nurse Practitioner
- Kathleen, GA
- NPI 1659185288
-
Melissa Kirkland Payne, NP-C
- Family Nurse Practitioner
- Warner Robins, GA
- NPI 1518162007
-
Shae Horsting Stephens, FNP
- Family Nurse Practitioner
- Macon, GA
- NPI 1417412032
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.