PELICAN HILL MEDICAL CENTER, LLC
NPI 1841710415
Clinic/Center - Urgent Care in Lilburn, GA
About Pelican Hill Medical Center, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PELICAN HILL MEDICAL CENTER, LLC (NPI 1841710415) is a healthcare organization registered as an urgent care in Lilburn, Georgia and active in the NPI registry since June 2017. The organization lists Son Nguyen, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pelican Hill Medical Center, 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 Pelican Hill Medical Center, LLC, 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 Pelican Hill Medical Center, LLC's NPI number?
The NPI number for Pelican Hill Medical Center, LLC is 1841710415. It was assigned to this organization in the NPPES registry on June 23, 2017.
Where is Pelican Hill Medical Center, LLC located?
Pelican Hill Medical Center, LLC is located at 470 Pleasant Hill Rd NW, Lilburn, GA 30047. The listed phone number is (770) 381-6222.
What is Pelican Hill Medical Center, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.
Is Pelican Hill Medical Center, LLC enrolled in Medicare?
Yes. Pelican Hill Medical Center, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Pelican Hill Medical Center, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Pelican Hill Medical Center, 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 Pelican Hill Medical Center, LLC was last updated on August 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Pelican Hill Medical Center, Llc · NPI 1841710415
Urgent Care organization in Lilburn, Georgia. Organization record, active in the CMS NPPES registry since June 23, 2017.
## Identity
- **NPI:** 1841710415 (Entity type: Organization)
- **Enumerated:** June 23, 2017
- **Primary specialty:** Clinic/Center - Urgent Care · taxonomy 261QU0200X
- **Organization subpart:** No
- **Authorized official:** Son Nguyen, OWNER
## Practice location
- **Address:** 470 PLEASANT HILL RD NW, Lilburn, GA 30047-2734
- **Phone:** (770) 381-6222 · **Fax:** (770) 931-4111
## 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 7, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1841710415) · Data from the CMS NPPES public registry.