GEORGIA EM-1 MEDICAL SERVICES PC
Medicare Clinicians for NPI 1568614600
Nurse Practitioner in Dublin, GA

Active since October 21, 2008
200 INDUSTRIAL BLVD, DUBLIN, GA 31021(478) 275-2000 Get Directions

NPPES record last updated: January 29, 2009. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Clinicians Billing Medicare Through This Organization CMS

Clinicians who reassign their Medicare billing to this organization, per CMS enrollment records.

Georgia Em-1 Medical Services PC in Dublin, GA bills Medicare for 131 clinicians across 4 Medicare specialties. The largest specialties are Nurse Practitioner with 95, Physician Assistant with 23 and Emergency Medicine with 12. Of these, 6 practice within 10 miles. Search by name or filter by specialty; each name links to that clinician's NPI profile.

131Clinicians
4Medicare specialties
131PECOS enrolled
94Accept Medicare
131 clinicians in 4 specialties

Nurse Practitioner (95)

Nurse Practitioner
NPI 1871091694
200 INDUSTRIAL BLVD
Dublin, GA 31021
(478) 274-3865
✔ PECOS✔ Accepts Medicare5.0 mi
Nurse Practitioner
NPI 1922238518
200 INDUSTRIAL BLVD
Dublin, GA 31021
(478) 274-3664
✔ PECOS✔ Accepts Medicare5.0 mi
Nurse Practitioner
NPI 1740728823
200 INDUSTRIAL BLVD
Dublin, GA 31021
(478) 274-3865
✔ PECOS5.0 mi
Nurse Practitioner
NPI 1578937702
200 INDUSTRIAL BLVD
Dublin, GA 31021
(478) 274-3865
✔ PECOS5.0 mi
Nurse Practitioner
NPI 1487161030
102 FAIRVIEW PARK DR
Dublin, GA 31021
(478) 272-8382
✔ PECOS✔ Accepts Medicare5.2 mi
Nurse Practitioner
NPI 1235658931
1608 MEADOWS LANE SUITE 1
Vidalia, GA 30474
(912) 537-9488
✔ PECOS36 mi
Nurse Practitioner
NPI 1043591076
233 N HOUSTON RD STE 140A
Warner Robins, GA 31093
(478) 975-6720
✔ PECOS✔ Accepts Medicare43 mi
Nurse Practitioner
NPI 1730507526
500 SPILLERS WAY
Warner Robins, GA 31088
(478) 953-4844
✔ PECOS✔ Accepts Medicare43 mi
Nurse Practitioner
NPI 1700267994
200 S HOUSTON LAKE RD
Warner Robins, GA 31088
(478) 953-6727
✔ PECOS44 mi
Nurse Practitioner
NPI 1578035457
310 HOSPITAL DR STE 210
Macon, GA 31217
(478) 787-6255
✔ PECOS✔ Accepts Medicare48 mi
Nurse Practitioner
NPI 1033571047
350 HOSPITAL DR
Macon, GA 31217
(478) 765-7000
✔ PECOS✔ Accepts Medicare48 mi
Nurse Practitioner
NPI 1932391349
770 WALNUT ST
Macon, GA 31201
(478) 787-4266
✔ PECOS48 mi
Nurse Practitioner
NPI 1831431428
777 HEMLOCK ST
Macon, GA 31201
(478) 633-1000
✔ PECOS✔ Accepts Medicare48 mi
Nurse Practitioner
NPI 1245988583
777 HEMLOCK ST
Macon, GA 31201
(478) 633-1000
✔ PECOS✔ Accepts Medicare48 mi
Nurse Practitioner
NPI 1366632275
777 HEMLOCK ST MSC 10
Macon, GA 31201
(478) 633-1000
✔ PECOS48 mi
Nurse Practitioner
NPI 1992933329
400 CHARTER BLVD
Macon, GA 31210
(478) 757-6000
✔ PECOS✔ Accepts Medicare52 mi
Nurse Practitioner
NPI 1396079042
388 S MAIN ST
Baxley, GA 31513
(912) 705-9680
✔ PECOS✔ Accepts Medicare58 mi
Nurse Practitioner
NPI 1841270139
1101 OCILLA RD
Douglas, GA 31533
(912) 383-5623
✔ PECOS✔ Accepts Medicare65 mi
Nurse Practitioner
NPI 1245695782
130 N LEE ST
Forsyth, GA 31029
(478) 974-6080
✔ PECOS✔ Accepts Medicare71 mi
Nurse Practitioner
NPI 1306884374
901 18TH ST E
Tifton, GA 31794
(229) 382-7120
✔ PECOS75 mi
Nurse Practitioner
NPI 1417264292
3486 PEACH ORCHARD RD STE 200
Augusta, GA 30906
(706) 828-8049
✔ PECOS83 mi
Nurse Practitioner
NPI 1134420268
201 MILES ST
Sylvester, GA 31791
(229) 777-1884
✔ PECOS84 mi
Nurse Practitioner
NPI 1942734710
447 N BELAIR RD STE 101
Evans, GA 30809
(706) 854-2222
✔ PECOS✔ Accepts Medicare88 mi
Nurse Practitioner
NPI 1912251190
208 DARLING WAY
Evans, GA 30809
(706) 495-0945
✔ PECOS✔ Accepts Medicare89 mi
Nurse Practitioner
NPI 1407247158
1350 WALTON WAY
Augusta, GA 30901
(706) 722-9011
✔ PECOS89 mi
Nurse Practitioner
NPI 1194051664
1350 WALTON WAY
Augusta, GA 30901
(706) 774-2112
✔ PECOS✔ Accepts Medicare89 mi
Nurse Practitioner
NPI 1750817748
1350 WALTON WAY
Augusta, GA 30901
(706) 774-4900
✔ PECOS✔ Accepts Medicare89 mi
Nurse Practitioner
NPI 1851869150
1900 TEBEAU ST
Waycross, GA 31501
(912) 283-3030
✔ PECOS✔ Accepts Medicare92 mi
Nurse Practitioner
NPI 1073143533
13110 GREYWOLF LN
Covington, GA 30014
(754) 551-4480
✔ PECOS✔ Accepts Medicare93 mi
Nurse Practitioner
NPI 1124330030
1913 PALMYRA RD
Albany, GA 31701
(706) 354-5770
✔ PECOS93 mi
Nurse Practitioner
NPI 1255766341
5126 HOSPITAL DR NE
Covington, GA 30014
(770) 385-4414
✔ PECOS✔ Accepts Medicare95 mi
Nurse Practitioner
NPI 1639826373
5126 HOSPITAL DR NE
Covington, GA 30014
(678) 255-7149
✔ PECOS✔ Accepts Medicare95 mi
Nurse Practitioner
NPI 1326765918
5126 HOSPITAL DR NE
Covington, GA 30014
(770) 786-7053
✔ PECOS✔ Accepts Medicare95 mi
Nurse Practitioner
NPI 1407866775
1631 HIGHWAY 20 W
Mcdonough, GA 30253
(770) 288-2822
✔ PECOS98 mi
Nurse Practitioner
NPI 1295090801
1775 PARKER RD SE STE C210
Conyers, GA 30094
(770) 776-8280
✔ PECOS✔ Accepts Medicare103 mi
Nurse Practitioner
NPI 1205207388
5095 MOUNT ZION PKWY
Stockbridge, GA 30281
(401) 652-9787
✔ PECOS✔ Accepts Medicare108 mi
Nurse Practitioner
NPI 1467420307
3320 OLD JEFFERSON RD BLDG 800
Athens, GA 30607
(706) 353-2990
✔ PECOS✔ Accepts Medicare109 mi
Nurse Practitioner
NPI 1619083797
4589 LAWRENCEVILLE RD
Loganville, GA 30052
(770) 466-8672
✔ PECOS110 mi
Nurse Practitioner
NPI 1326691171
3511 SKYLAND RIDGE CT
Loganville, GA 30052
(770) 235-6478
✔ PECOS✔ Accepts Medicare112 mi
Nurse Practitioner
NPI 1356053714
1255 HIGHWAY 54 W
Fayetteville, GA 30214
(404) 309-2767
✔ PECOS✔ Accepts Medicare114 mi
Nurse Practitioner
NPI 1467821900
4519 IVY PATCH DR
Fortson, GA 31808
(706) 681-2924
✔ PECOS116 mi
Nurse Practitioner
NPI 1164953279
1825 ROCKBRIDGE RD STE 15B
Stone Mountain, GA 30087
(470) 444-3134
✔ PECOS✔ Accepts Medicare117 mi
Nurse Practitioner
NPI 1740839513
6330 RIVERDALE RD
Atlanta, GA 30349
(770) 438-8446
✔ PECOS✔ Accepts Medicare117 mi
Nurse Practitioner
NPI 1720071079
7830 VETERANS PKWY STE H
Columbus, GA 31909
(706) 320-8881
✔ PECOS✔ Accepts Medicare117 mi
Nurse Practitioner
NPI 1164845731
5358 KEITH RD
Hogansville, GA 30230
(706) 523-1175
✔ PECOS✔ Accepts Medicare121 mi
Nurse Practitioner
NPI 1851075808
69 WOODLAKE DR
Newnan, GA 30265
(770) 846-8897
✔ PECOS✔ Accepts Medicare121 mi
Nurse Practitioner
NPI 1467472589
49 JESSE HILL JR DR SE
Atlanta, GA 30303
(404) 251-8921
✔ PECOS✔ Accepts Medicare122 mi
Nurse Practitioner
NPI 1518444926
865 N HIGHLAND AVE NE
Atlanta, GA 30306
(404) 733-6089
✔ PECOS✔ Accepts Medicare122 mi
Nurse Practitioner
NPI 1902267271
303 PARKWAY DR NE
Atlanta, GA 30312
(404) 265-4000
✔ PECOS123 mi
Nurse Practitioner
NPI 1578892071
550 PEACHTREE ST NE BLDG 324
Atlanta, GA 30308
(404) 686-1000
✔ PECOS✔ Accepts Medicare123 mi
Nurse Practitioner
NPI 1669914008
3650 STEVE REYNOLDS BLVD
Duluth, GA 30096
(404) 365-0966
✔ PECOS✔ Accepts Medicare124 mi
Nurse Practitioner
NPI 1902151012
354 NEWNAN CROSSING BYP SUITE 200
Newnan, GA 30265
(770) 460-4747
✔ PECOS124 mi
Nurse Practitioner
NPI 1437566973
5665 NEW NORTHSIDE DR SUITE 320
Atlanta, GA 30328
(770) 874-5446
✔ PECOS132 mi
Nurse Practitioner
NPI 1932483344
8735 DUNWOODY PL STE R
Atlanta, GA 30350
(678) 438-7321
✔ PECOS✔ Accepts Medicare134 mi
Nurse Practitioner
NPI 1356516272
3950 AUSTELL RD
Austell, GA 30106
(404) 290-4840
✔ PECOS136 mi
Nurse Practitioner
NPI 1235865478
3950 AUSTELL RD
Austell, GA 30106
(770) 732-4000
✔ PECOS✔ Accepts Medicare136 mi
Nurse Practitioner
NPI 1174895007
743 SPRING ST NE
Gainesville, GA 30501
(770) 536-2146
✔ PECOS✔ Accepts Medicare137 mi
Nurse Practitioner
NPI 1215385703
789 CHURCH ST NE STE 200
Marietta, GA 30060
(770) 881-7964
✔ PECOS✔ Accepts Medicare140 mi
Nurse Practitioner
NPI 1538356837
2476 CANTON RD
Marietta, GA 30066
(770) 951-1565
✔ PECOS✔ Accepts Medicare141 mi
Nurse Practitioner
NPI 1144866047
705 DIXIE ST
Carrollton, GA 30117
(770) 812-9561
✔ PECOS✔ Accepts Medicare146 mi
Nurse Practitioner
NPI 1881113173
705 DIXIE ST
Carrollton, GA 30117
(770) 836-9508
✔ PECOS✔ Accepts Medicare146 mi
Nurse Practitioner
NPI 1578985271
705 DIXIE STREET
Carrollton, GA 30117
(770) 836-9597
✔ PECOS✔ Accepts Medicare146 mi
Nurse Practitioner
NPI 1669034500
705 DIXIE STREET
Carrollton, GA 30117
(770) 832-9561
✔ PECOS✔ Accepts Medicare146 mi
Nurse Practitioner
NPI 1811323249
1480 S HIGHWAY 27
Carrollton, GA 30117
(770) 836-9445
✔ PECOS✔ Accepts Medicare148 mi
Nurse Practitioner
NPI 1740858422
12297 COUNTY ROAD 65
Roanoke, AL 36274
(423) 620-2184
✔ PECOS✔ Accepts Medicare151 mi
Nurse Practitioner
NPI 1336588631
4248 MOUNT ZION RD
Carrollton, GA 30117
(770) 836-0103
✔ PECOS153 mi
Nurse Practitioner
NPI 1023769965
1009 ALABAMA AVE S
Bremen, GA 30110
(678) 821-6400
✔ PECOS✔ Accepts Medicare154 mi
Nurse Practitioner
NPI 1255925350
225 CREEK VIEW RD
Bremen, GA 30110
(770) 757-7399
✔ PECOS154 mi
Nurse Practitioner
NPI 1992398465
200 ALLEN MEMORIAL DR
Bremen, GA 30110
(770) 824-2000
✔ PECOS✔ Accepts Medicare155 mi
Nurse Practitioner
NPI 1134790033
200 ALLEN MEMORIAL DR
Bremen, GA 30110
(770) 812-2519
✔ PECOS✔ Accepts Medicare155 mi
Nurse Practitioner
NPI 1154862910
222 GORDON ST
Bremen, GA 30110
(770) 537-1234
✔ PECOS155 mi
Nurse Practitioner
NPI 1689445678
222 GORDON STEET
Bremen, GA 30110
(770) 634-8905
✔ PECOS✔ Accepts Medicare155 mi
Nurse Practitioner
NPI 1558959122
1030 MAIN ST S
Wedowee, AL 36278
(256) 357-2188
✔ PECOS✔ Accepts Medicare160 mi
Nurse Practitioner
NPI 1639594385
960 JOE FRANK HARRIS PKWY SE
Cartersville, GA 30120
(770) 382-1530
✔ PECOS✔ Accepts Medicare161 mi
Nurse Practitioner
NPI 1528628385
25 W LYON ST
Tallapoosa, GA 30176
(770) 812-2800
✔ PECOS✔ Accepts Medicare163 mi
Nurse Practitioner
NPI 1487459467
240 MANNING ST
Tallapoosa, GA 30176
(770) 773-0957
✔ PECOS✔ Accepts Medicare163 mi
Nurse Practitioner
NPI 1225415581
744 NOAH DR STE 108
Jasper, GA 30143
(706) 253-2828
✔ PECOS✔ Accepts Medicare164 mi
Nurse Practitioner
NPI 1316455751
841 PRUDENTIAL DR STE 1400
Jacksonville, FL 32207
(478) 363-6406
✔ PECOS166 mi
Nurse Practitioner
NPI 1942385901
4370 W MAIN ST
Dothan, AL 36305
(334) 793-5000
✔ PECOS✔ Accepts Medicare170 mi
Nurse Practitioner
NPI 1427434414
304 TURNER MCCALL BLVD SW
Rome, GA 30165
(706) 509-6100
✔ PECOS✔ Accepts Medicare179 mi
Nurse Practitioner
NPI 1821376476
504 REDMOND RD NW
Rome, GA 30165
(706) 235-3855
✔ PECOS✔ Accepts Medicare181 mi
Nurse Practitioner
NPI 1538559315
459 MILAS WINKLER RD
Chatsworth, GA 30705
(706) 517-3500
✔ PECOS✔ Accepts Medicare191 mi
Nurse Practitioner
NPI 1134546831
824 GI MADDOX PKWY
Chatsworth, GA 30705
(706) 695-0561
✔ PECOS✔ Accepts Medicare195 mi
Nurse Practitioner
NPI 1346788122
2618 HEATHERSHIRE LN
Matthews, NC 28105
(315) 222-4098
✔ PECOS✔ Accepts Medicare225 mi
Nurse Practitioner
NPI 1255420972
1924 ALCOA HWY
Knoxville, TN 37920
(865) 305-9402
✔ PECOS✔ Accepts Medicare247 mi
Nurse Practitioner
NPI 1033656715
MEDICAL CENTER BLVD
Winston Salem, NC 27157
(336) 716-9252
✔ PECOS✔ Accepts Medicare293 mi
Nurse Practitioner
NPI 1578071387
1000 36TH ST
Vero Beach, FL 32960
(772) 567-4311
✔ PECOS✔ Accepts Medicare364 mi
Nurse Practitioner
NPI 1124330196
1605 PENNSYLVANIA AVE APT 403
Miami Beach, FL 33139
(305) 494-9338
✔ PECOS✔ Accepts Medicare490 mi
Nurse Practitioner
NPI 1154568764
720 N LINCOLN ST
Greensburg, IN 47240
(812) 663-4331
✔ PECOS✔ Accepts Medicare496 mi
Nurse Practitioner
NPI 1427730274
525 E GRANT ST
Macomb, IL 61455
(309) 836-1744
✔ PECOS✔ Accepts Medicare698 mi
Nurse Practitioner
NPI 1982945424
100 HIGH ST
Buffalo, NY 14203
(716) 691-8838
✔ PECOS✔ Accepts Medicare754 mi
Nurse Practitioner
NPI 1649645797
707 N MYRTLE ST
Georgetown, TX 78626
(512) 784-6767
✔ PECOS✔ Accepts Medicare878 mi
Nurse Practitioner
NPI 1669005880
333 SMITH AVE N
Saint Paul, MN 55102
(651) 241-8755
✔ PECOS✔ Accepts Medicare1,020 mi
Nurse Practitioner
NPI 1770991804
2517 7TH AVE S STE B2
Great Falls, MT 59405
(406) 952-0061
✔ PECOS✔ Accepts Medicare1,810 mi
Nurse Practitioner
NPI 1497032452
115 MALL DR
Hanford, CA 93230
(559) 537-0550
✔ PECOS✔ Accepts Medicare2,103 mi

Physician Assistant (23)

Physician Assistant
NPI 1699020057
101 MEDICAL DR
Dublin, GA 31021
(478) 275-3782
✔ PECOS✔ Accepts Medicare5.0 mi
Physician Assistant
NPI 1679814800
655 7TH ST BLDG 700/700-A 78 MDG/SGOPF
Robins Afb, GA 31098
(478) 327-8747
✔ PECOS39 mi
Physician Assistant
NPI 1053321513
655 7TH ST BLDG 700700-A 78 MDG/XXX
Robins Afb, GA 31098
(706) 372-6102
✔ PECOS✔ Accepts Medicare39 mi
Physician Assistant
NPI 1356578603
350 HOSPITAL DR
Macon, GA 31217
(478) 765-4144
✔ PECOS48 mi
Physician Assistant
NPI 1720055643
682 HEMLOCK ST STE 100
Macon, GA 31201
(478) 633-8682
✔ PECOS48 mi
Physician Assistant
NPI 1205994985
201 AVERA DR
Fort Valley, GA 31030
(478) 825-3317
✔ PECOS55 mi
Physician Assistant
NPI 1679529465
RR 1 BOX 4070
Alapaha, GA 31622
(229) 468-0632
✔ PECOS76 mi
Physician Assistant
NPI 1700105194
218 QUARTERMAN ST
Waycross, GA 31501
(912) 287-0301
✔ PECOS✔ Accepts Medicare92 mi
Physician Assistant
NPI 1538138672
2501 N PATTERSON ST
Valdosta, GA 31602
(229) 333-1000
✔ PECOS112 mi
Physician Assistant
NPI 1548662505
2412 N OAK ST
Valdosta, GA 31602
(229) 244-1400
✔ PECOS✔ Accepts Medicare112 mi
Physician Assistant
NPI 1033237722
1700 MEDICAL WAY
Snellville, GA 30078
(770) 332-1234
✔ PECOS✔ Accepts Medicare116 mi
Physician Assistant
NPI 1730431313
2801 N. DECATUR ROAD SUITE 200
Decatur, GA 30033
(404) 719-4219
✔ PECOS✔ Accepts Medicare120 mi
Physician Assistant
NPI 1275943961
235 PEACHTREE ST NE
Atlanta, GA 30303
(770) 994-9326
✔ PECOS✔ Accepts Medicare123 mi
Physician Assistant
NPI 1043459613
1735 N BROWN RAOD HEALTH CARE PARTNERS
Lawrenceville, GA 30043
(352) 383-4505
✔ PECOS✔ Accepts Medicare125 mi
Physician Assistant
NPI 1427585058
790 CHURCH ST NE STE 400
Marietta, GA 30060
(770) 405-2976
✔ PECOS✔ Accepts Medicare140 mi
Physician Assistant
NPI 1609827187
900 TOWNE LAKE PKWY STE 104
Woodstock, GA 30189
(770) 772-1830
✔ PECOS✔ Accepts Medicare146 mi
Physician Assistant
NPI 1841464732
247 ADAMS DRIVE
Demorest, GA 30535
(706) 839-4096
✔ PECOS✔ Accepts Medicare150 mi
Physician Assistant
NPI 1578566121
3334 CAPITAL MEDICAL BLVD STE 400
Tallahassee, FL 32308
(850) 877-8174
✔ PECOS156 mi
Physician Assistant
NPI 1114939048
1460A 2ND AVE SW
Jacksonville, AL 36265
(256) 435-2180
✔ PECOS188 mi
Physician Assistant
NPI 1497786974
1200 MEMORIAL DR
Dalton, GA 30720
(706) 278-2105
✔ PECOS199 mi
Physician Assistant
NPI 1275026502
601 E ROLLINS ST
Orlando, FL 32803
(800) 424-3672
✔ PECOS✔ Accepts Medicare284 mi
Physician Assistant
NPI 1447224530
700 W OAK ST
Kissimmee, FL 34741
(407) 518-3801
✔ PECOS301 mi
Physician Assistant
NPI 1114326055
18167 US HIGHWAY 19 N SUITE 650
Clearwater, FL 33764
(727) 507-3647
✔ PECOS312 mi

Emergency Medicine (12)

Emergency Medicine
NPI 1265489843
1601 WATSON BLVD
Warner Robins, GA 31093
(478) 542-7830
✔ PECOS✔ Accepts Medicare42 mi
Emergency Medicine
NPI 1881641439
1601 WATSON BLVD
Warner Robins, GA 31093
(478) 542-7830
✔ PECOS✔ Accepts Medicare42 mi
Emergency Medicine
NPI 1942244017
176 SPRINGFIELD BLVD
Macon, GA 31210
(478) 731-0185
✔ PECOS✔ Accepts Medicare55 mi
Emergency Medicine
NPI 1366478281
1350 WALTON WAY
Augusta, GA 30901
(904) 805-1300
✔ PECOS89 mi
Emergency Medicine
NPI 1265507818
347 BROADMOOR WAY
Mcdonough, GA 30253
(770) 653-6804
✔ PECOS✔ Accepts Medicare103 mi
Emergency Medicine
NPI 1275579922
2701 NORTH DECATUR ROAD
Decatur, GA 30033
(404) 501-1849
✔ PECOS120 mi
Emergency Medicine
NPI 1720176704
1968 PEACHTREE RD NW
Atlanta, GA 30309
(404) 605-3297
✔ PECOS✔ Accepts Medicare126 mi
Emergency Medicine
NPI 1205935343
3950 AUSTELL RD
Austell, GA 30106
(770) 732-4000
✔ PECOS✔ Accepts Medicare136 mi
Emergency Medicine
NPI 1063478139
705 DIXIE ST
Carrollton, GA 30117
(770) 836-9666
✔ PECOS✔ Accepts Medicare146 mi
Emergency Medicine
NPI 1588619795
8375 HIGHWAY 72 W
Madison, AL 35758
(256) 265-5051
✔ PECOS271 mi
Emergency Medicine
NPI 1598718447
6000 49TH ST N
St Petersburg, FL 33709
(727) 521-5044
✔ PECOS319 mi
Emergency Medicine
NPI 1558473223
LAHEY CLINIC
Burlington, MA 01805
(781) 744-8100
✔ PECOS✔ Accepts Medicare944 mi

Internal Medicine (1)

Internal Medicine
NPI 1366528309
1120 MORNINGSIDE DR PERRY HOSPITAL EMERGENCY DEPARTMENT
Perry, GA 31069
(478) 997-9237
✔ PECOS✔ Accepts Medicare45 mi
No clinicians match the current filters.

About this data

Medicare reassignment. A clinician who works for a hospital, clinic or medical group usually signs a Medicare reassignment (form CMS-855R). It lets the organization bill Medicare for the clinician's services and receive the payment. This page lists the clinicians whose reassignment to Georgia Em-1 Medical Services PC appears in the CMS Revalidation Reassignment List.

Who is included. Clinicians who bill Medicare under their own NPI through this organization. A clinician can reassign to more than one organization, so the same name may also appear under other groups.

✔ PECOS
Enrolled in Medicare through PECOS, CMS's enrollment system, and eligible to order and refer for Medicare patients.
✔ Accepts Medicare
Accepts Medicare assignment, which means taking the Medicare-approved amount as full payment for covered services.
Same address 4.2 mi
Straight-line distance from this NPI's practice location to the clinician's practice address.

Addresses and phone numbers come from each clinician's own NPPES record, so they may point to another office or to the clinician's own practice.

Source: CMS Revalidation Reassignment List, October 2026 release; addresses, phone numbers and Medicare status from NPPES and PECOS. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.