NPIMap

Northside Primary Care Professional Services,LLC

A Medicare group practice based in Cumming, GA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 9638343924), with 499 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
9638343924The 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
313 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
95In 35 places

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20111123000206 GA Part B Supplier - Clinic/Group Practice 1922397553

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 499

Page 1 of 5

Clinicians who reassign their Medicare benefits to this group (499) or whom Care Compare lists as members (313).

Sources for this page