Macmed LLC
NPI 1417062613ActiveOrganization· General Practice· St Simons Island, GA
General Practice in St Simons Island, Georgia, registered in NPPES in August 2006. The authorized official on file is Judy S. Rivenbark, M.D., Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1417062613 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 20, 2006 |
| Last updated in NPPES | Aug 29, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | GA11411 | GA |
| Family Medicine | 207Q00000X | GA051731 | GA |
| Hospitalist | 208M00000X | GA11411 | GA |
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) |
|---|