Classic City Orthodontics
NPI 1609249903ActiveOrganization· Exclusive Provider Organization· Athens, GA
Exclusive Provider Organization in Athens, Georgia, registered in NPPES in November 2015. The authorized official on file is Carla Robin Oliver, Insurance Coordinator.
Overview
| NPI | 1609249903 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 9, 2015 |
| Last updated in NPPES | Nov 9, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Exclusive Provider Organization Primary | 302F00000X | 012101 | 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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Exclusive Provider Organization providers in Athens
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