Spg II LLC
NPI 1255602587ActiveOrganization· Surgery· Germantown, TN
Surgery in Germantown, Tennessee, registered in NPPES in January 2012. The authorized official on file is Tabatha Perry, Manager, Provider Enrollment. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1255602587 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 18, 2012 |
| Last updated in NPPES | Sep 22, 2025 |
| Certified by provider | Sep 22, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | — | — |
| Obstetrics & Gynecology, Gynecology | 207VG0400X | — | — |
| Orthopaedic Surgery | 207X00000X | — | — |
| Pediatrics, Pediatric Cardiology | 2080P0202X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MS); Part B Supplier - Clinic/Group Practice (TN) |
|---|
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