Riverdale Medical Center LLC
NPI 1033496070ActiveOrganization· General Practice· Riverdale, GA
General Practice in Riverdale, Georgia, registered in NPPES in November 2011. The authorized official on file is Shelly Moreland, Manager.
Overview
| NPI | 1033496070 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 4, 2011 |
| Last updated in NPPES | Nov 4, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | GA |
| Physical Medicine & Rehabilitation, Pain Medicine | 2081P2900X | — | GA |
| Pain Medicine, Pain Medicine | 208VP0000X | — | GA |
| Pain Medicine, Interventional Pain Medicine | 208VP0014X | — | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other general practitioners in Riverdale
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