CORDELE FAMILY MEDICINE PC
NPI 1659477404
Family Medicine in Cordele, GA
About Cordele Family Medicine Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CORDELE FAMILY MEDICINE PC (NPI 1659477404) is a healthcare organization registered as a family medicine in Cordele, Georgia and active in the NPI registry since September 2006. The organization lists Henry William Young, Physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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)
Cordele Family Medicine Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Cordele Family Medicine PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: 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 Cordele Family Medicine PC's NPI number?
The NPI number for Cordele Family Medicine PC is 1659477404. It was assigned to this organization in the NPPES registry on September 16, 2006.
Where is Cordele Family Medicine PC located?
Cordele Family Medicine PC is located at 501 Third Avenue East, Cordele, GA 31015. The listed phone number is (229) 273-0841.
What is Cordele Family Medicine PC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Cordele Family Medicine PC enrolled in Medicare?
Yes. Cordele Family Medicine PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Cordele Family Medicine PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Cordele Family Medicine PC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Cordele Family Medicine PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Cordele Family Medicine Pc · NPI 1659477404
Family Medicine organization in Cordele, Georgia. Organization record, active in the CMS NPPES registry since September 16, 2006.
## Identity
- **NPI:** 1659477404 (Entity type: Organization)
- **Enumerated:** September 16, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Henry Young, PHYSICIAN
## Practice location
- **Address:** 501 THIRD AVENUE EAST, Cordele, GA 31015
- **Phone:** (229) 273-0841 · **Fax:** (229) 273-0841
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2020
- **Other identifiers:** Medicaid 00265218A (GA)
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Source: [NPI Profile](https://npiprofile.com/npi/1659477404) · Data from the CMS NPPES public registry.