Hidden Valley Medical Center Inc
NPI 1073516621ActiveOrganization· Internal Medicine· Blue Ridge, GA
Internal Medicine in Blue Ridge, Georgia, registered in NPPES in May 2005. The authorized official on file is Sophia Arwood, Director Physician Operations. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1073516621 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 27, 2005 |
| Last updated in NPPES | Oct 16, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
| Family Medicine | 207Q00000X | — | — |
| Internal Medicine, Pulmonary Disease | 207RP1001X | — | — |
| Obstetrics & Gynecology | 207V00000X | — | — |
| Surgery | 208600000X | — | — |
| Hospitalist | 208M00000X | — | — |
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 (TN) |
|---|
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