Mulberry Primary Care LLC
NPI 1689435448ActiveOrganization· Family Medicine· Dacula, GA
Family Medicine in Dacula, Georgia, registered in NPPES in January 2024. The authorized official on file is Jocilli Walton, FNP, Fnp. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1689435448 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 18, 2024 |
| Last updated in NPPES | Oct 3, 2024 |
| Certified by provider | Oct 3, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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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