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Hometown Occupational Medicine

NPI 1609553965ActiveOrganization· General Practice· Bonare, GA

General Practice in Bonare, Georgia, registered in NPPES in June 2023. The authorized official on file is Breanna Dorothy Bassett, Ceo/President.

Overview

NPI1609553965
StatusActive
Entity typeOrganization
NPI issuedJun 29, 2023
Last updated in NPPESJun 29, 2023
Certified by providerJun 29, 2023

Specialties and licenses

TaxonomyCodeLicenseState
General Practice Primary208D00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years