Estate Clinics By Cmg
NPI 1043981517ActiveOrganization· Internal Medicine· Riverdale, GA
Internal Medicine in Riverdale, Georgia, registered in NPPES in September 2021. The authorized official on file is Kaylene Martin, Practice Manager.
Overview
| NPI | 1043981517 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 24, 2021 |
| Last updated in NPPES | Sep 24, 2021 |
| Certified by provider | Sep 24, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
| Clinic/Center, Multi-Specialty | 261QM1300X | — | — |
| Clinic/Center, Research | 261QR1100X | — | — |
| Clinic/Center, Urgent Care | 261QU0200X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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