ER Physician Group at Jackson Hospital
NPI 1407801194ActiveOrganization· General Practice· Marianna, FL
General Practice in Marianna, Florida, registered in NPPES in May 2006. The authorized official on file is Margaret Carter, Billing Liaison. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1407801194 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 23, 2006 |
| Last updated in NPPES | May 21, 2026 |
| Certified by provider | May 21, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
| Specialist | 174400000X | — | — |
| Clinic/Center, Rural Health | 261QR1300X | — | — |
| General Acute Care Hospital, Rural | 282NR1301X | 3999 | FL |
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 (FL) |
|---|
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