Southern Regional Physicians Management Group, LLC
NPI 1043677271ActiveOrganization· Surgery· Riverdale, GA
Surgery in Riverdale, Georgia, registered in NPPES in January 2016. The authorized official on file is Christopher Doan, Chief Compliance Counsel. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1043677271 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 19, 2016 |
| Last updated in NPPES | Jan 19, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | — | — |
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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