Family Medical and Urgent Care Clinic of McDonough, LLC
NPI 1043440530ActiveOrganization· Family Medicine· McDonough, GA
Family Medicine in McDonough, Georgia, registered in NPPES in July 2009. The authorized official on file is Danielle O. Eidson, Administrative Operations Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1043440530 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 20, 2009 |
| Last updated in NPPES | Jul 29, 2026 |
| Certified by provider | Jul 29, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 056874 | GA |
| Physician Assistant, Medical | 363AM0700X | 004088 | 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 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) |
|---|
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