SUSQUEHANNA HEALTH MEDICAL GROUP
NPI 1780631226
Family Medicine in South Williamsport, PA
About Susquehanna Health Medical Group NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUSQUEHANNA HEALTH MEDICAL GROUP (NPI 1780631226) is a healthcare organization registered as a family medicine in South Williamsport, Pennsylvania and active in the NPI registry since May 2006. The organization lists Melissa Davis, Vp/coo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 3
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)
Susquehanna Health Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
13Medicare enrollment records show 13 clinicians reassign Medicare billing to Susquehanna Health Medical Group, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 10 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (13)
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 Susquehanna Physician Services's NPI number?
The NPI number for Susquehanna Physician Services is 1780631226. It was assigned to this organization in the NPPES registry on May 30, 2006. The provider is doing business as Susquehanna Health Medical Group.
Where is Susquehanna Physician Services located?
Susquehanna Physician Services is located at 145 Shaffer St, South Williamsport, PA 17702. The listed phone number is (570) 326-2447.
What is Susquehanna Physician Services's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Susquehanna Physician Services enrolled in Medicare?
Yes. Susquehanna Physician Services is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Susquehanna Physician Services?
According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 3 Medicare specialties reassign their Medicare billing to Susquehanna Physician Services. 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 (9), Nurse Practitioner (3) and Pediatric Medicine (1). Of these, 1 practice at this address and 10 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Susquehanna Physician Services was last updated on October 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Susquehanna Health Medical Group · NPI 1780631226
Family Medicine organization in South Williamsport, Pennsylvania. Organization record, active in the CMS NPPES registry since May 30, 2006.
## Identity
- **NPI:** 1780631226 (Entity type: Organization)
- **Enumerated:** May 30, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Susquehanna Physician Services
- **Organization subpart:** No
- **Authorized official:** Melissa Davis, VP/COO
## Practice location
- **Address:** 145 SHAFFER ST, South Williamsport, PA 17702-6727
- **Phone:** (570) 326-2447 · **Fax:** (570) 326-1247
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 13 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (9), Nurse Practitioner (3), Pediatric Medicine (1); 1 practice at this address and 10 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 26, 2015
- **Other identifiers:** Other 888650 (PA); Medicare PIN CC0890 (PA); Medicaid 0017300760153 (PA)
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Source: [NPI Profile](https://npiprofile.com/npi/1780631226) · Data from the CMS NPPES public registry.