Privia Pediatric Medical Group of Georgia LLC
NPI 1710385513ActiveOrganization· Pediatrics· Fayetteville, GA
Pediatrics in Fayetteville, Georgia, registered in NPPES in December 2014. The authorized official on file is Graham Galka, Senior Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1710385513 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 10, 2014 |
| Last updated in NPPES | Dec 10, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | — | — |
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 Part B Supplier - Clinic/Group Practice (GA) |
|---|
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