Laurens County Board of Health

A Medicare group practice based in Dublin, GA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 9739356635), with 5 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
9739356635The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice, Part B Supplier - Public Health/Welfare Agency
Enrolled in
GA
Enrollments
2
Group size
4 cliniciansAs Care Compare reports it
Medicare assignment
May accept Medicare assignment
Practice locations
2In 1 place

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20120117000810 GA Part B Supplier - Public Health/Welfare Agency 1689740045
O20131212001278 GA Part B Supplier - Clinic/Group Practice 1841505641

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 5

Clinicians who reassign their Medicare benefits to this group (5) or whom Care Compare lists as members (4).

Sources for this page