Gold Medal Group, LLC
NPI 1114513652ActiveOrganization· Chiropractor· Green Bay, WI
Chiropractor in Green Bay, Wisconsin, registered in NPPES in December 2020. The authorized official on file is Jackson Draeger, DC, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1114513652 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 18, 2020 |
| Last updated in NPPES | Dec 18, 2020 |
| Certified by provider | Dec 18, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | — | — |
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) | Enrolled Part B Supplier - Clinic/Group Practice (WI) |
|---|
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