Samuel L. Church, MD, PC
NPI 1023153244ActiveOrganization· Family Medicine· Hiawassee, GA
Family Medicine in Hiawassee, Georgia, registered in NPPES in February 2007. The authorized official on file is Samuel L. Church, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1023153244 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 21, 2007 |
| Last updated in NPPES | Feb 29, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 048990 | GA |
| Preferred Provider Organization | 305R00000X | 048990 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (GA) |
|---|
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