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NPI 1487227997ActiveOrganization· Physiological Laboratory· Newnan, GA
Physiological Laboratory in Newnan, Georgia, registered in NPPES in July 2021. The authorized official on file is Brenda Lynn Nelson-Porter, ND, Researcher/Clia-Waived Laboratory.
Overview
| NPI | 1487227997 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 22, 2021 |
| Last updated in NPPES | Jul 22, 2021 |
| Certified by provider | Jul 21, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physiological Laboratory Primary | 293D00000X | — | — |
| Home Health | 251E00000X | — | — |
| Clinic/Center, Community Health | 261QC1500X | — | — |
| Clinic/Center, Genetics | 261QG0250X | — | — |
| Respite Care | 385H00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Physiological Laboratory providers in Newnan
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