Eagle Drive Family Medicine PC
NPI 1750514295ActiveOrganization· General Practice· Woodstock, GA
General Practice in Woodstock, Georgia, registered in NPPES in September 2009. The authorized official on file is Richard Leon Manrique, M.D., President.
Overview
| NPI | 1750514295 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 1, 2009 |
| Last updated in NPPES | Jan 25, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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