Georgia CVS Pharmacy, L.L.C.
NPI 1164883757ActiveOrganization· Pharmacy· Athens, GA
Pharmacy in Athens, Georgia, registered in NPPES in March 2016. The authorized official on file is Susan Colbert, Sr Director Payer Relations. Medicare paid $4,626 for services to 23 patients in 2024.
Overview
| NPI | 1164883757 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 10, 2016 |
| Last updated in NPPES | Oct 28, 2021 |
| Certified by provider | Oct 28, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | GA |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | GA |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — | GA |
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 DME Supplier - Pharmacy (GA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 23 |
|---|---|
| Services billed | 58 across 7 procedure codes |
| Paid by Medicare | $4,626 |
Other Pharmacy providers in Athens
- 1629394820
- 1215959002
- 1437458593
- 1689777344
- 1801022918
- 1437208964
- 1477564979
- 1841299195
- 1225043334
- 1588976062
- 1700309317
- 1790209385