DMC Physician Group LLC

A Medicare group practice based in Fitzgerald, GA: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 8628296845), with 20 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
8628296845The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
Enrolled in
GA
Enrollments
3
Group size
20 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
4In 1 place

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20140902000773 GA Part B Supplier - Clinic/Group Practice 1124430020
O20150209002132 GA Part A Provider - Rural Health Clinic 1821662008
O20180105000506 GA Part A Provider - Rural Health Clinic 1922672120

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 20

Clinicians who reassign their Medicare benefits to this group (20) or whom Care Compare lists as members (20).

Sources for this page