Sgmp Southland LLC
NPI 1447695085ActiveOrganization· Psychiatry & Neurology, Psychiatry· Valdosta, GA
Psychiatry & Neurology, Psychiatry in Valdosta, Georgia, registered in NPPES in May 2013. The authorized official on file is Stephanie Fletcher, Cfo. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1447695085 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 9, 2013 |
| Last updated in NPPES | May 13, 2022 |
| Certified by provider | May 13, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychiatry & Neurology, Psychiatry Primary | 2084P0800X | — | — |
| Clinic/Center | 261Q00000X | 59451 | GA |
| Clinic/Center, Primary Care | 261QP2300X | 59451 | 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 (AL); Part B Supplier - Clinic/Group Practice (FL); Part B Supplier - Clinic/Group Practice (GA) |
|---|
Other Psychiatry & Neurology, Psychiatry providers in Valdosta
- 1205126943
- 1073762712
- 1952277329
- 1962780171
- 1083042105
- 1720235518
- 1619976891
- 1356311658
- 1568490944
- 1447213277
- 1003699240
- 1396953246
All Psychiatry & Neurology, Psychiatry providers in Georgia →