Jefferson City Medical Group, P.C.
NPI 1649099714ActiveOrganization· Family Medicine· Fulton, MO
Family Medicine in Fulton, Missouri, registered in NPPES in October 2024. The authorized official on file is Jeffrey Patrick, M.D, President. Enrolled in Medicare as dme supplier - physician - family practice.
Overview
| NPI | 1649099714 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 7, 2024 |
| Last updated in NPPES | Oct 7, 2024 |
| Certified by provider | Oct 7, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
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 DME Supplier - Physician - Family Practice (MO) |
|---|
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