Georgia CVS Pharmacy, L.L.C.
NPI 1174718373ActiveOrganization· Pharmacy· Atlanta, GA
Pharmacy in Atlanta, Georgia, registered in NPPES in September 2007. The authorized official on file is Susan Colbert, Director, Payer Relations. Medicare paid $12,847 for services to 54 patients in 2024.
Overview
| NPI | 1174718373 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 11, 2007 |
| Last updated in NPPES | Apr 21, 2022 |
| Certified by provider | Apr 21, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Pharmacy (GA); Part B Supplier - Mass Immunization (Roster Biller Only) (GA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 54 |
|---|---|
| Services billed | 162 across 10 procedure codes |
| Paid by Medicare | $12,847 |
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