NPIMap

Southland Optim Jenkins Emergency Medical Services, LLC

A Medicare group practice based in Millen, GA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 9537461538), with 64 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
9537461538The 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
19 cliniciansAs Care Compare reports it
Medicare assignment
May accept Medicare assignment
Practice locations
2In 2 places

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20160107002680 GA Part B Supplier - Clinic/Group Practice 1265826242

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 64

Clinicians who reassign their Medicare benefits to this group (64) or whom Care Compare lists as members (19).

Sources for this page