Greenwood Comprehensive Medical Clinic
NPI 1225172562ActiveOrganization· Family Medicine· Greenwood, MS
Family Medicine in Greenwood, Mississippi, registered in NPPES in February 2007. The authorized official on file is Valencia Patrice Martin, M.D., Vice President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1225172562 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 19, 2007 |
| Last updated in NPPES | May 22, 2024 |
| Certified by provider | May 22, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 10298 | MS |
| Internal Medicine | 207R00000X | 10035 | MS |
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 (MS) |
|---|
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