Board of Regents of the University System of Georgia and on Behalf....
NPI 1114570389ActiveOrganization· Family Medicine, Sports Medicine· Atlanta, GA
Family Medicine, Sports Medicine in Atlanta, Georgia, registered in NPPES in July 2019. The authorized official on file is Jerry Rackliffe, Senior Vp For Finance And Admin.
Overview
| NPI | 1114570389 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 17, 2019 |
| Last updated in NPPES | Jul 17, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine, Sports Medicine Primary | 207QS0010X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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