Adderley Medical Group, L.L.C.
NPI 1134433659ActiveOrganization· General Practice· Festus, MO
General Practice in Festus, Missouri, registered in NPPES in July 2010. The authorized official on file is Mark Floyd Adderley, D.O., Member. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1134433659 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 27, 2010 |
| Last updated in NPPES | Jun 12, 2024 |
| Certified by provider | Sep 2, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | 2007032281 | MO |
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 Part B Supplier - Clinic/Group Practice (MO) |
|---|
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