Piedmont Providers LLC
NPI 1548273592ActiveOrganization· Internal Medicine· Jasper, GA
Internal Medicine in Jasper, Georgia, registered in NPPES in August 2006. The authorized official on file is Christy Aquino, Director, Provider Enrollment. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1548273592 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 14, 2006 |
| Last updated in NPPES | Oct 26, 2021 |
| Certified by provider | Oct 26, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | GA |
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); Part B Supplier - Clinic/Group Practice (SC) |
|---|
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