NPIMap

Diversity Health Center Inc

A Medicare group practice based in Hinesville, GA: 8 NPIs enrolled under one PECOS associate control ID (PAC ID 9638261910), with 26 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
9638261910The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice, Part B Supplier - Pharmacy
Enrolled in
GA
Enrollments
9
Group size
12 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
12In 3 places

Enrollment records 9

Enrollment IDStateProvider typeNPI
O20080114000708 GA Part A Provider - Federally Qualified Health Center (FQHC) 1952584708
O20110810000508 GA Part B Supplier - Clinic/Group Practice 1326594714
O20240806003020 GA Part B Supplier - Pharmacy 1265274120
O20130429000643 GA Part A Provider - Federally Qualified Health Center (FQHC) 1720108590
O20161109002558 GA Part A Provider - Federally Qualified Health Center (FQHC) 1326594714
O20200615001490 GA Part B Supplier - Pharmacy 1770107286
O20200206001880 GA Part A Provider - Federally Qualified Health Center (FQHC) 1518508613
O20190228002508 GA Part A Provider - Federally Qualified Health Center (FQHC) 1770056962
O20190416002323 GA Part B Supplier - Pharmacy 1255801890

NPIs in this group 8

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 26

Clinicians who reassign their Medicare benefits to this group (26) or whom Care Compare lists as members (12).

Sources for this page