OCMULGEE MEDICAL SERVICES, LLC
NPI 1720243124
Internal Medicine - Nephrology in Eastman, GA

Active since July 24, 2008
911 PLAZA AVE, EASTMAN, GA 31023(478) 374-4410(478) 374-1712 Get Directions Write a Review

NPPES record last updated: November 9, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ocmulgee Medical Services, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OCMULGEE MEDICAL SERVICES, LLC (NPI 1720243124) is a healthcare organization registered as a nephrology in Eastman, Georgia and active in the NPI registry since July 2008. The organization lists Robert Peacock, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1720243124
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameOCMULGEE MEDICAL SERVICES, LLC
Location Address911 PLAZA AVEEastman, GA 31023-6785
Mailing Address911 Plaza AveEastman, GA 31023-6785 · (478) 374-4410 · Fax (478) 374-1712
Fax(478) 374-1712
Organization SubpartNo
Authorized OfficialRobert PeacockBusiness Manager · (478) 374-4410
Enumeration DateJuly 24, 2008
Last NPPES UpdateNovember 9, 2011
✔ NPI 1720243124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
911 PLAZA AVE, Eastman, GA 31023

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ocmulgee Medical Services, Llc 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 Ocmulgee Medical Services, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1316152770
420 CHARTER BLVD STE 402
Macon, GA 31210
(478) 757-6400
✔ PECOS✔ Accepts Medicare56 mi

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 Ocmulgee Medical Services, LLC's NPI number?

The NPI number for Ocmulgee Medical Services, LLC is 1720243124. It was assigned to this organization in the NPPES registry on July 24, 2008.

Where is Ocmulgee Medical Services, LLC located?

Ocmulgee Medical Services, LLC is located at 911 Plaza Ave, Eastman, GA 31023. The listed phone number is (478) 374-4410.

What is Ocmulgee Medical Services, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Ocmulgee Medical Services, LLC enrolled in Medicare?

Yes. Ocmulgee Medical Services, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ocmulgee Medical Services, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Ocmulgee Medical Services, 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Ocmulgee Medical Services, LLC was last updated on November 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.