Gainesville Internal Medicine Group LLC
NPI 1588632921ActiveOrganization· Internal Medicine· Gainesville, GA
Internal Medicine in Gainesville, Georgia, registered in NPPES in March 2006. The authorized official on file is Carla Autry, Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1588632921 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 10, 2006 |
| Last updated in NPPES | Aug 28, 2023 |
| Certified by provider | Aug 28, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
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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