A Family Practice and Wellness Center
NPI 1184896573ActiveOrganization· Exclusive Provider Organization· Cartersville, GA
Exclusive Provider Organization in Cartersville, Georgia, registered in NPPES in March 2008. The authorized official on file is Ashley R. Crump, Patient Care Coordinator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1184896573 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 26, 2008 |
| Last updated in NPPES | Dec 1, 2025 |
| Certified by provider | Dec 1, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Exclusive Provider Organization Primary | 302F00000X | — | — |
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 Part B Supplier - Clinic/Group Practice (GA) |
|---|