Coliseum Drive Associates LLC
NPI 1790252427ActiveOrganization· Skilled Nursing Facility· Macon, GA
Skilled Nursing Facility in Macon, Georgia, registered in NPPES in October 2018. The authorized official on file is Daren Douston, Chief Financial Officer. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1790252427 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 31, 2018 |
| Last updated in NPPES | Dec 21, 2023 |
| Certified by provider | Dec 21, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | — | — |
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 A Provider - Skilled Nursing Facility (GA) |
|---|
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