Advanced Medical Resources of Wayne County, LLC
NPI 1396140497ActiveOrganization· Internal Medicine· Jesup, GA
Internal Medicine in Jesup, Georgia, registered in NPPES in October 2014. The authorized official on file is Lake Daly, Administrator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1396140497 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 31, 2014 |
| Last updated in NPPES | Feb 19, 2020 |
| Certified by provider | Feb 19, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
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 (GA) |
|---|
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