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NPI 1194079939ActiveOrganization· Preferred Provider Organization· Union Point, GA

Preferred Provider Organization in Union Point, Georgia, registered in NPPES in November 2012. The authorized official on file is Sheldon B. Eberhart, Operations Manager.

Overview

NPI1194079939
StatusActive
Entity typeOrganization
NPI issuedNov 1, 2012
Last updated in NPPESNov 1, 2012

Specialties and licenses

TaxonomyCodeLicenseState
Preferred Provider Organization Primary305R00000XGA67890GA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years