Precision Physician Group LLC
NPI 1780489617ActiveOrganization· Nurse Practitioner· Fleming Island, FL
Nurse Practitioner in Fleming Island, Florida, registered in NPPES in February 2025. The authorized official on file is Joshua Hammond, Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1780489617 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 14, 2025 |
| Last updated in NPPES | Jun 9, 2025 |
| Certified by provider | Jun 9, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | — | — |
| Radiology, Diagnostic Radiology | 2085R0202X | — | — |
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 (FL) |
|---|
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