Care Dynamix, Inc,
NPI 1174856397ActiveOrganization· Family Medicine· Roswell, GA
Family Medicine in Roswell, Georgia, registered in NPPES in September 2009, part of Care Dynamix, LLC. The authorized official on file is Pam Riley, Controller.
Overview
| NPI | 1174856397 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Care Dynamix, LLC |
| NPI issued | Sep 8, 2009 |
| Last updated in NPPES | Sep 3, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Internal Medicine | 207R00000X | — | — |
| Clinic/Center, Public Health, Federal | 261QP0904X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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