Heritage Medical Management Group LLC
NPI 1710858592ActiveOrganization· Surgery, Vascular Surgery· Atlanta, GA
Surgery, Vascular Surgery in Atlanta, Georgia, registered in NPPES in September 2025. The authorized official on file is Steve O. Odeh, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1710858592 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 15, 2025 |
| Last updated in NPPES | Aug 24, 2026 |
| Certified by provider | Aug 24, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Vascular Surgery Primary | 2086S0129X | — | — |
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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