Imc-Eastern Shore Family Practice LLC
NPI 1235659319ActiveOrganization· Family Medicine· Daphne, AL
Family Medicine in Daphne, Alabama, registered in NPPES in June 2017. The authorized official on file is Phillip L. Cowart, Vp Finance. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1235659319 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 21, 2017 |
| Last updated in NPPES | Jul 24, 2026 |
| Certified by provider | Jul 24, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
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) | Enrolled Part B Supplier - Clinic/Group Practice (AL) |
|---|
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