Southern Health Care of Georgia
NPI 1225462864ActiveOrganization· Specialist· Marietta, GA
Specialist in Marietta, Georgia, registered in NPPES in August 2013. The authorized official on file is Jerry D. Blackmon, Owner.
Overview
| NPI | 1225462864 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 31, 2013 |
| Last updated in NPPES | Aug 31, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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All 74 Specialist providers in Marietta · All Specialist providers in Georgia