Centerwell Senior Primary Care Ga PC
NPI 1154148526ActiveOrganization· Internal Medicine· Suwanee, GA
Internal Medicine in Suwanee, Georgia, registered in NPPES in September 2024, part of Centerwell Senior Primary Care Ga PC. The authorized official on file is Angie Martinez, Senior Credentialing Professional.
Overview
| NPI | 1154148526 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Centerwell Senior Primary Care Ga PC |
| NPI issued | Sep 25, 2024 |
| Last updated in NPPES | Jan 24, 2025 |
| Certified by provider | Jan 24, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
| Family Medicine | 207Q00000X | — | — |
| General Practice | 208D00000X | — | — |
| Non-Pharmacy Dispensing Site | 332900000X | — | — |
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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