Gmuc of Citronelle LLC
NPI 1164794343ActiveOrganization· Family Medicine· Citronelle, AL
Family Medicine in Citronelle, Alabama, registered in NPPES in February 2012. The authorized official on file is Darren K. Waters, MD, Medical Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1164794343 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 2, 2012 |
| Last updated in NPPES | Aug 2, 2023 |
| Certified by provider | Aug 2, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Clinic/Center, Urgent Care | 261QU0200X | — | — |
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) | Enrolled Part B Supplier - Clinic/Group Practice (AL) |
|---|
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