Palmyra Surgical, LLC
NPI 1588868376ActiveOrganization· Surgery· Macon, GA
Surgery in Macon, Georgia, registered in NPPES in June 2007. The authorized official on file is Vito John Bagnato, M.D., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1588868376 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 13, 2007 |
| Last updated in NPPES | Sep 25, 2023 |
| Certified by provider | Sep 25, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | — | — |
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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