NPIMap

Johnston County

A Medicare group practice based in Clayton, NC: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 8224011861), with 24 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
8224011861The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Ambulance Service Supplier, Part B Supplier - Clinic/Group Practice
Enrolled in
NC
Enrollments
2
Group size
19 cliniciansAs Care Compare reports it
Medicare assignment
May accept Medicare assignment
Practice locations
20In 13 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20040612000426 NC Part B Supplier - Clinic/Group Practice 1528157211
O20080619000578 NC Part B Supplier - Ambulance Service Supplier 1114193844

NPIs in this group 3

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 24

Clinicians who reassign their Medicare benefits to this group (24) or whom Care Compare lists as members (19).

Sources for this page