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Shaw Living PC

NPI 1033778923ActiveOrganization· Family Medicine· Thomasville, GA

Family Medicine in Thomasville, Georgia, registered in NPPES in June 2019. The authorized official on file is Lacy Bradford, Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1033778923
StatusActive
Entity typeOrganization
NPI issuedJun 13, 2019
Last updated in NPPESFeb 28, 2024
Certified by providerFeb 28, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Family Medicine Primary207Q00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (GA)

Medicare sources and data years

Other Family Medicine providers in Thomasville

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