Innovative Clinical Services LLC
NPI 1740932227ActiveOrganization· Family Medicine· Statesboro, GA
Family Medicine in Statesboro, Georgia, registered in NPPES in January 2022. The authorized official on file is Benjamin Ross, PHARMD, Owner/Authorized Official.
Overview
| NPI | 1740932227 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 25, 2022 |
| Last updated in NPPES | Feb 18, 2022 |
| Certified by provider | Feb 18, 2022 |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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