PROVIDENCE HEALTH & SERVICES OREGON
NPI 1386713972
Family Medicine in Medford, OR
About Providence Health & Services Oregon NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PROVIDENCE HEALTH & SERVICES OREGON (NPI 1386713972), doing business as Pmg South Medford Family Practice, is a healthcare organization registered as a family medicine in Medford, Oregon and active in the NPI registry since November 2006. The organization lists Donald Wayne Anderson, Assistant Secretary Enrollment, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 2
Other Identifiers 2
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)
Providence Health & Services Oregon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
181Medicare enrollment records show 181 clinicians reassign Medicare billing to Providence Health & Services Oregon, which bills Medicare for the services they deliver. Of these, 39 practice at this address and 103 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 21
Nearest to this location (20)
See all 181Source: 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 Providence Health & Services Oregon's NPI number?
The NPI number for Providence Health & Services Oregon is 1386713972. It was assigned to this organization in the NPPES registry on November 7, 2006. The provider is doing business as Pmg South Medford Family Practice and Providence Medical Group South.
Where is Providence Health & Services Oregon located?
Providence Health & Services Oregon is located at 1698 E Mcandrews Rd Suite 300, Medford, OR 97504. The listed phone number is (541) 732-7950.
What is Providence Health & Services Oregon's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Providence Health & Services Oregon enrolled in Medicare?
Yes. Providence Health & Services Oregon is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Providence Health & Services Oregon?
According to the CMS Revalidation Reassignment List (October 2026 release), 181 clinicians in 21 Medicare specialties reassign their Medicare billing to Providence Health & Services Oregon. 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 Nurse Practitioner (38), Internal Medicine (22) and Hospitalist (21). Of these, 39 practice at this address and 103 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Providence Health & Services Oregon accept?
Health plans from Moda Health Plan, Inc. list Providence Health & Services Oregon 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 Providence Health & Services Oregon was last updated on November 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Providence Health & Services Oregon · NPI 1386713972
Family Medicine organization in Medford, Oregon. Organization record, active in the CMS NPPES registry since November 7, 2006.
## Identity
- **NPI:** 1386713972 (Entity type: Organization)
- **Enumerated:** November 7, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Also known as:** PMG SOUTH MEDFORD FAMILY PRACTICE (Doing Business As); PROVIDENCE MEDICAL GROUP SOUTH (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Donald Anderson, ASSISTANT SECRETARY ENROLLMENT
## Practice location
- **Address:** 1698 E MCANDREWS RD, SUITE 300, Medford, OR 97504-5589
- **Phone:** (541) 732-7950 · **Fax:** (541) 732-7901
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 181 clinicians in 21 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (38), Internal Medicine (22), Hospitalist (21); 39 practice at this address and 103 within 10 miles; [full list](https://npiprofile.com/npi/1386713972/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 19, 2025
- **Other identifiers:** Medicaid 288499 (OR); Other CG6801 (OR)
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Source: [NPI Profile](https://npiprofile.com/npi/1386713972) · Data from the CMS NPPES public registry.