Oak Tree Family Medicine, PC
NPI 1548413206ActiveOrganization· Preferred Provider Organization· Johns Creek, GA
Preferred Provider Organization in Johns Creek, Georgia, registered in NPPES in October 2008. The authorized official on file is Jun H. Ro, M.D., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1548413206 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 28, 2008 |
| Last updated in NPPES | Oct 28, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Preferred Provider Organization Primary | 305R00000X | 050671 | 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) |
|---|
Other Preferred Provider Organization providers in Johns Creek
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