Bridgemill Family Healthcare, LLC
NPI 1083986681ActiveOrganization· Family Medicine· Canton, GA
Family Medicine in Canton, Georgia, registered in NPPES in January 2012, part of Progressive Community Healthcare. The authorized official on file is Otis Bonner, Attorney.
Overview
| NPI | 1083986681 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Progressive Community Healthcare |
| NPI issued | Jan 30, 2012 |
| Last updated in NPPES | Jan 30, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | GA |
| Chiropractor | 111N00000X | — | GA |
| Nurse Practitioner | 363L00000X | — | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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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