DMC PHYSICIAN GROUP LLC
NPI 1124430020
Clinic/Center - Multi-Specialty in Fitzgerald, GA
About Dmc Physician Group Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DMC PHYSICIAN GROUP LLC (NPI 1124430020) is a healthcare organization registered as a multi-specialty in Fitzgerald, Georgia and active in the NPI registry since May 2014. The organization lists Paige Wynn, Interim Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 9
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dmc Physician Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
21Medicare enrollment records show 21 clinicians reassign Medicare billing to Dmc Physician Group LLC, which bills Medicare for the services they deliver. Of these, 8 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 6
Nearest to this location (20)
See all 21Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently 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 Dmc Physician Group LLC's NPI number?
The NPI number for Dmc Physician Group LLC is 1124430020. It was assigned to this organization in the NPPES registry on May 27, 2014.
Where is Dmc Physician Group LLC located?
Dmc Physician Group LLC is located at 200 Perry House Rd, Fitzgerald, GA 31750. The listed phone number is (229) 424-7260.
What is Dmc Physician Group LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is Dmc Physician Group LLC enrolled in Medicare?
Yes. Dmc Physician Group LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Dmc Physician Group LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 21 clinicians in 6 Medicare specialties reassign their Medicare billing to Dmc Physician Group LLC. 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. The largest specialties are Family Practice (8), Nurse Practitioner (7) and Internal Medicine (3). Of these, 8 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Dmc Physician Group LLC accept?
Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Dmc Physician Group LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Dmc Physician Group LLC was last updated on May 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.
# Dmc Physician Group Llc · NPI 1124430020
Multi-Specialty organization in Fitzgerald, Georgia. Organization record, active in the CMS NPPES registry since May 27, 2014.
## Identity
- **NPI:** 1124430020 (Entity type: Organization)
- **Enumerated:** May 27, 2014
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Organization subpart:** No
- **Authorized official:** Paige Wynn, INTERIM CEO
## Practice location
- **Address:** 200 PERRY HOUSE RD, Fitzgerald, GA 31750-8857
- **Phone:** (229) 424-7260
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 21 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (8), Nurse Practitioner (7), Internal Medicine (3); 8 practice within 10 miles; [full list](https://npiprofile.com/npi/1124430020/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 19, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1124430020) · Data from the CMS NPPES public registry.