MID GEORGIA TOTAL CARE LLC
NPI 1003200015
Family Medicine in Eastman, GA
About Mid Georgia Total Care Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MID GEORGIA TOTAL CARE LLC (NPI 1003200015) is a healthcare organization registered as a family medicine in Eastman, Georgia and active in the NPI registry since March 2015. The organization holds a CLIA Waiver certificate valid through August 3, 2027 and lists Kevin Bierschenk, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mid Georgia Total Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Mid Georgia Total Care LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 11D2099846
Mid-Georgia Total Care · Eastman, GAFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mid Georgia Total Care LLC's NPI number?
The NPI number for Mid Georgia Total Care LLC is 1003200015. It was assigned to this organization in the NPPES registry on March 27, 2015.
Where is Mid Georgia Total Care LLC located?
Mid Georgia Total Care LLC is located at 1111 Griffin Ave Ste 1B, Eastman, GA 31023. The listed phone number is (478) 374-8998.
What is Mid Georgia Total Care LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Mid Georgia Total Care LLC enrolled in Medicare?
Yes. Mid Georgia Total Care LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mid Georgia Total Care LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Mid Georgia Total Care LLC, in Family Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Mid Georgia Total Care LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D2099846) is associated with this NPI, valid through August 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Mid Georgia Total Care LLC was last updated on March 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mid Georgia Total Care Llc · NPI 1003200015
Family Medicine organization in Eastman, Georgia. Organization record, active in the CMS NPPES registry since March 27, 2015.
## Identity
- **NPI:** 1003200015 (Entity type: Organization)
- **Enumerated:** March 27, 2015
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Kevin Bierschenk, CEO
## Practice location
- **Address:** 1111 GRIFFIN AVE, STE 1B, Eastman, GA 31023-9104
- **Phone:** (478) 374-8998 · **Fax:** (478) 374-8525
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Nurse Practitioner (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 30, 2015
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1003200015) · Data from the CMS NPPES public registry.