Advantage Health & Rehab LLC
NPI 1629354303ActiveOrganization· Internal Medicine· Lawrenceville, GA
Internal Medicine in Lawrenceville, Georgia, registered in NPPES in October 2011, part of Covenant Medical Center PC. The authorized official on file is Paul Willis, DC, Ceo.
Overview
| NPI | 1629354303 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Covenant Medical Center PC |
| NPI issued | Oct 26, 2011 |
| Last updated in NPPES | Oct 26, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 58389 | GA |
| Chiropractor | 111N00000X | CHIR004786 | GA |
| Nurse Practitioner | 363L00000X | RN051666 | GA |
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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