Mariposa Medical Associates, LLC
NPI 1073111977ActiveOrganization· Internal Medicine· Smyrna, GA
Internal Medicine in Smyrna, Georgia, registered in NPPES in October 2020. The authorized official on file is Lachunna Bryant, Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1073111977 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 13, 2020 |
| Last updated in NPPES | Oct 13, 2020 |
| Certified by provider | Oct 13, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
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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