Macdermott Group, LLC
NPI 1689902199ActiveOrganization· Nurse Practitioner· Kissimmee, FL
Nurse Practitioner in Kissimmee, Florida, registered in NPPES in November 2009, part of Macdermott Group, LLC. The authorized official on file is Jeremy Good, D.C., Chiropractor. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1689902199 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Macdermott Group, LLC |
| NPI issued | Nov 20, 2009 |
| Last updated in NPPES | Jun 4, 2024 |
| Certified by provider | Jun 4, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | — | — |
| Chiropractor | 111N00000X | — | — |
| Clinic/Center | 261Q00000X | — | — |
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) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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