Privia Medical Group of Georgia LLC
NPI 1013313857ActiveOrganization· Internal Medicine· Fayetteville, GA
Internal Medicine in Fayetteville, Georgia, registered in NPPES in November 2014. The authorized official on file is Jeannette Wood, Vp Revenue Cycle Manager. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1013313857 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 5, 2014 |
| Last updated in NPPES | Mar 3, 2022 |
| Certified by provider | Mar 3, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
| Family Medicine | 207Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (GA); Part B Supplier - Clinic/Group Practice (SC) |
|---|
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