Organization Active NPI

Qcpi-Villagemd, PC

  • Rural Health Clinic/Center
  • Monticello, GA
National Provider Identifier
1508720822
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
QCPI-VILLAGEMD, PC
Practice address
545 Venture CT
Monticello, GA 31064-7788
Phone
(706) 468-7002
NPI assigned
Dec 11, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Cheri Szokolay
Title
Director Rev Cycle
Phone
(770) 822-6853

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

545 Venture CT
Monticello, GA 31064-7788

Mailing address

545 Venture CT
Monticello, GA 31064-7788
Phone (706) 468-7002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260115002877 GA Part A Provider - Rural Health Clinic 8123389277 Practice locations: Monticello, GA

Rural health clinic certification: CCN 118923

Legal name
QCPI-VILLAGEMD PC
Doing business as
VILLAGE MEDICAL
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Apr 29, 2026
Last certification
Apr 29, 2026
Ownership / control type
1B
Organization structure
CorporationProprietary
Enrollment address
545 Venture CT
Monticello, GA 31064-7788

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2020106Village Medical545 Venture Court, Monticello, GA 31064Certificate of waiverFeb 13, 2027

National Provider Directory

National Provider Directory
Tax ID family
Qcpi-Villagemd PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Villagemd Georgia, LLC Organization, Berkeley Heights, NJ Management services company Operational/Managerial Control Aug 7, 2017 100%
Rebecca Rager Individual Corporate DirectorDirector of Revenue Cycle Jan 1, 2025
W-2 Managing EmployeeRevenue Cycle Director Jan 1, 2025
Village Practice Management Company LLC Organization, Chicago, IL Management services company Operational/Managerial Control Aug 7, 2017 100%
Clive K Fields Individual 5% Or Greater Direct Ownership InterestPresident May 23, 2018 100%
Corporate OfficerPresident May 23, 2018 100%
Cheri Szokolay Individual Contracted Managing EmployeeDirector of Revenue Cycle Dec 1, 2023
Corporate DirectorDirector of Revenue Cycle Dec 1, 2023

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1765411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765411200000",
    "number": "1508720822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 VENTURE CT",
            "city": "MONTICELLO",
            "state": "GA",
            "postal_code": "310647788",
            "telephone_number": "706-468-7002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 VENTURE CT",
            "city": "MONTICELLO",
            "state": "GA",
            "postal_code": "310647788",
            "telephone_number": "706-468-7002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QCPI-VILLAGEMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-11",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A",
        "authorized_official_last_name": "SZOKOLAY",
        "authorized_official_first_name": "CHERI",
        "authorized_official_title_or_position": "DIRECTOR REV CYCLE",
        "authorized_official_telephone_number": "770-822-6853"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monticello, GA

Sources for this page

Verify at the official NPI Registry.