Our Community Healthcare System Inc
NPI 1063091262ActiveOrganization· Internal Medicine, Geriatric Medicine· Atlanta, GA
Internal Medicine, Geriatric Medicine in Atlanta, Georgia, registered in NPPES in April 2021. The authorized official on file is Victoria Grinston, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1063091262 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 5, 2021 |
| Last updated in NPPES | Dec 28, 2023 |
| Certified by provider | Dec 28, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Geriatric Medicine Primary | 207RG0300X | — | — |
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); Part B Supplier - Clinic/Group Practice (MO) |
|---|
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