Board of Regents of the University System of Georgia

A Medicare group practice based in Athens, GA: 5 NPIs enrolled under one PECOS associate control ID (PAC ID 8729060967), with 21 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
8729060967The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
GA
Enrollments
1
Group size
9 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
2In 1 place

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20040602001084 GA Part B Supplier - Clinic/Group Practice 1376640557

NPIs in this group 5

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 21

Clinicians who reassign their Medicare benefits to this group (21) or whom Care Compare lists as members (9).

Sources for this page