Collier B. Gladin, Jr., M.D., LLC
NPI 1780992198ActiveOrganization· Family Medicine· Macon, GA
Family Medicine in Macon, Georgia, registered in NPPES in September 2010, part of Collier B. Gladin, Jr. M.D., LLC. The authorized official on file is Collier B. Gladin, M.D., Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1780992198 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Collier B. Gladin, Jr. M.D., LLC |
| NPI issued | Sep 20, 2010 |
| Last updated in NPPES | Mar 7, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 030609 | GA |
| Preferred Provider Organization | 305R00000X | 030609 | GA |
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) | Enrolled Part B Supplier - Clinic/Group Practice (GA) |
|---|
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