Marathon Health LLC
NPI 1548892961ActiveOrganization· General Practice· St Augustine, FL
General Practice in St Augustine, Florida, registered in NPPES in February 2020, part of Marathon Health LLC. The authorized official on file is Jerry Ford, Ceo.
Overview
| NPI | 1548892961 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Marathon Health LLC |
| NPI issued | Feb 5, 2020 |
| Last updated in NPPES | Feb 5, 2020 |
| Certified by provider | Feb 5, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
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 |
|---|
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