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PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1992031595
Family Medicine in Eagle Point, OR

Active since November 02, 2009
1332 S SHASTA AVE, SUITE A, EAGLE POINT, OR 97524(541) 826-8160(541) 826-8197 Get Directions Write a Review

NPPES record last updated: November 19, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 19, 2025, May 5, 2025, Aug 12, 2020 and 2 more (5 updates tracked since 2015).

About Providence Health & Services - Oregon NPPES

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

PROVIDENCE HEALTH & SERVICES - OREGON (NPI 1992031595), doing business as Pmg South Eagle Point, is a healthcare organization registered as a family medicine in Eagle Point, Oregon and active in the NPI registry since November 2009. The organization lists Donald Wayne Anderson, Assistant Secretary Enrollment, as its authorized official.

NPPES Registry Identity

NPI1992031595
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePROVIDENCE HEALTH & SERVICES - OREGON
Location Address1332 S SHASTA AVE, SUITE AEagle Point, OR 97524-8623
Mailing AddressPo Box 31001 - 4180Pasadena, CA 91110-4180 · (541) 826-8160
Phone(541) 826-8160
Fax(541) 826-8197
Organization SubpartYes
Authorized OfficialDonald Wayne AndersonAssistant Secretary Enrollment · (425) 358-9786
Enumeration DateNovember 2, 2009
Last NPPES UpdateNovember 19, 20255 updates tracked since enumeration
NPPES CertifiedNovember 19, 2025
✔ NPI 1992031595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedPediatricsTaxonomy 208000000X
Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X
Also ListedPsychiatry & Neurology · Geriatric PsychiatryTaxonomy 2084P0805X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
1332 S SHASTA AVE, Eagle Point, OR 97524
Open in Google Maps ↗

Other Names 2

Doing Business AsPmg South Eagle Point
Doing Business AsProvidence Medical Group South

Other Identifiers 1

Medicaid500617058OR

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Providence Health & Services - Oregon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

181

Medicare enrollment records show 181 clinicians reassign Medicare billing to Providence Health & Services - Oregon, which bills Medicare for the services they deliver. Of these, 76 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 21

Nurse Practitioner38
Internal Medicine22
Hospitalist21
Family Practice16
Obstetrics/Gynecology11
Pediatric Medicine11
Cardiovascular Disease (Cardiology)9
Clinical Psychologist9
13 other specialties44

Nearest to this location (20)

See all 181
Tracie Wright, MSN, WHNP-BC
Nurse Practitioner
NPI 1093292971
572 BARTON RD
Eagle Point, OR 97524
(541) 301-4907
✔ PECOS✔ Accepts Medicare1.7 mi
Emily Royce, NP
Nurse Practitioner
NPI 1194416701
393 W ANTELOPE RD
White City, OR 97503
(541) 600-4610
✔ PECOS✔ Accepts Medicare5.0 mi
Blake Andersen, PHD
Clinical Psychologist
NPI 1306652110
870 S FRONT ST STE 200
Central Point, OR 97502
(541) 732-8000
✔ PECOS✔ Accepts Medicare8.2 mi
Nathaniel Brown, FNP-C
Nurse Practitioner
NPI 1740538156
870 S FRONT ST STE 200
Central Point, OR 97502
(541) 732-8000
✔ PECOS✔ Accepts Medicare8.2 mi
Jesse Hodson, FNP
Nurse Practitioner
NPI 1518435585
870 S FRONT ST STE 200
Central Point, OR 97502
(541) 732-8000
✔ PECOS✔ Accepts Medicare8.2 mi
Brandan Hull, MD
Family Practice
NPI 1184719882
870 S FRONT ST
Central Point, OR 97502
(541) 664-3346
✔ PECOS✔ Accepts Medicare8.2 mi
Neil Olsen, MD
Family Practice
NPI 1942396676
870 S FRONT ST SUITE 200
Central Point, OR 97502
(541) 664-3346
✔ PECOS✔ Accepts Medicare8.2 mi
Daniel Wood, DO
Internal Medicine
NPI 1225778855
870 S FRONT ST STE 200
Central Point, OR 97502
(541) 732-8000
✔ PECOS✔ Accepts Medicare8.2 mi
Thong Bui, MD
Urology
NPI 1073589651
1698 E MCANDREWS RD STE 280
Medford, OR 97504
(541) 204-1699
✔ PECOS✔ Accepts Medicare8.7 mi
Patrick Davol, M.D.
Urology
NPI 1003025875
1698 E MCANDREWS RD STE 280
Medford, OR 97504
(541) 204-1699
✔ PECOS✔ Accepts Medicare8.7 mi
Elisa Akagi Fukushima, M.D.
Infectious Disease
NPI 1730568080
1698 E MCANDREWS RD STE 160
Medford, OR 97504
(541) 732-6070
✔ PECOS✔ Accepts Medicare8.7 mi
Julian Bell, MD
Pulmonary Disease
NPI 1497840813
1698 E MCANDREWS RD SUITE 400
Medford, OR 97504
(541) 732-7960
✔ PECOS✔ Accepts Medicare8.7 mi
Rebecca Elliott, D.O.
Obstetrics/Gynecology
NPI 1942697669
1698 E MCANDREWS RD STE 350
Medford, OR 97504
(541) 732-7460
✔ PECOS✔ Accepts Medicare8.7 mi
Tracy Haley, MD
General Surgery
NPI 1407943889
1698 E MCANDREWS RD SUITE 160
Medford, OR 97504
(541) 732-7874
✔ PECOS✔ Accepts Medicare8.7 mi
Hillary Handelsman, CNM, WHNP, NP
Certified Nurse Midwife (CNM)
NPI 1215127519
940 ROYAL AVE UNIT 350
Medford, OR 97504
(541) 732-7460
✔ PECOS✔ Accepts Medicare8.7 mi
Sandeep Jhajj, M.D
Vascular Surgery
NPI 1174962369
940 ROYAL AVE UNIT 100
Medford, OR 97504
(541) 732-8388
✔ PECOS✔ Accepts Medicare8.7 mi
Shaik Basha, MD
Hospitalist
NPI 1578712378
1111 CRATER LAKE AVE
Medford, OR 97504
(541) 732-5545
✔ PECOS✔ Accepts Medicare8.7 mi
Walter Carlini, MD
Neurology
NPI 1770583338
920 ROYAL AVE
Medford, OR 97504
(541) 732-8400
✔ PECOS✔ Accepts Medicare8.8 mi
Andrew Tang, D.O.
Physical Medicine and Rehabilitation
NPI 1356769798
827 SPRING ST
Medford, OR 97504
(541) 732-8360
✔ PECOS✔ Accepts Medicare8.8 mi
Jason Lundy, DO
Pediatric Medicine
NPI 1134864564
840 ROYAL AVE STE 110
Medford, OR 97504
(541) 732-8370
✔ PECOS8.8 mi
See all 181 clinicians

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 Providence Health & Services - Oregon's NPI number?

The NPI number for Providence Health & Services - Oregon is 1992031595. It was assigned to this organization in the NPPES registry on November 2, 2009. The provider is doing business as Pmg South Eagle Point and Providence Medical Group South.

Where is Providence Health & Services - Oregon located?

Providence Health & Services - Oregon is located at 1332 S Shasta Ave Suite A, Eagle Point, OR 97524. The listed phone number is (541) 826-8160.

What is Providence Health & Services - Oregon's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Providence Health & Services - Oregon enrolled in Medicare?

Yes. Providence Health & Services - Oregon is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Providence Health & Services - Oregon?

According to the CMS Revalidation Reassignment List (October 2026 release), 181 clinicians in 21 Medicare specialties reassign their Medicare billing to Providence Health & Services - Oregon. 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 Nurse Practitioner (38), Internal Medicine (22) and Hospitalist (21). Of these, 76 practice 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 Providence Health & Services - Oregon was last updated on November 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.