Swartzentruber Medical Services LLC
NPI 1376904201ActiveOrganization· Family Medicine· Moultrie, GA
Family Medicine in Moultrie, Georgia, registered in NPPES in March 2016. The authorized official on file is Gary W. Swartzentruber, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1376904201 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 20, 2016 |
| Last updated in NPPES | Nov 29, 2021 |
| Certified by provider | Nov 16, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 63965 | GA |
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 (GA) |
|---|
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