Georgia CVS Pharmacy LLC
NPI 1104251834ActiveOrganization· Pharmacy· Macon, GA
Pharmacy in Macon, Georgia, registered in NPPES in September 2013. The authorized official on file is Susan Colbert, Director, Payer Relations. Medicare paid $36,341 for services to 173 patients in 2024.
Overview
| NPI | 1104251834 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 12, 2013 |
| Last updated in NPPES | Feb 17, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | GA |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | GA |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — | 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) | Enrolled DME Supplier - Pharmacy (GA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 173 |
|---|---|
| Services billed | 494 across 12 procedure codes |
| Paid by Medicare | $36,341 |
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