Care Medical Center LLC
NPI 1063521250ActiveOrganization· Exclusive Provider Organization· Valdosta, GA
Exclusive Provider Organization in Valdosta, Georgia, registered in NPPES in August 2006. The authorized official on file is James Ryan Moorman, DC, Manager. Enrolled in Medicare as dme supplier - physician - physical and rehabilitation and part b supplier - clinic/group practice.
Overview
| NPI | 1063521250 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 30, 2006 |
| Last updated in NPPES | Mar 16, 2026 |
| Certified by provider | Mar 16, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Exclusive Provider Organization Primary | 302F00000X | 007773 | GA |
| Clinic/Center, Multi-Specialty | 261QM1300X | — | — |
| Clinic/Center, Physical Therapy | 261QP2000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Physical and Rehabilitation (GA); Part B Supplier - Clinic/Group Practice (GA) |
|---|