Creekside Medical Clinic LLC
NPI 1518289248ActiveOrganization· Family Medicine· Kennesaw, GA
Family Medicine in Kennesaw, Georgia, registered in NPPES in February 2010. The authorized official on file is Sharmila Ramprasad, MD, Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1518289248 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 22, 2010 |
| Last updated in NPPES | Aug 15, 2022 |
| Certified by provider | Aug 15, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
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) | Enrolled Part B Supplier - Clinic/Group Practice (GA) |
|---|
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