Edg Sports Medicine,inc
NPI 1114169703ActiveOrganization· Physician Assistant, Surgical· Decatur, GA
Physician Assistant, Surgical in Decatur, Georgia, registered in NPPES in March 2009. The authorized official on file is Eric Gaines, Owner.
Overview
| NPI | 1114169703 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 30, 2009 |
| Last updated in NPPES | Mar 30, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | 1857 | GA |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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