Blueglove Primary Care LLC
NPI 1891616876ActiveOrganization· Internal Medicine· Marietta, GA
Internal Medicine in Marietta, Georgia, registered in NPPES in July 2026. The authorized official on file is Jiexi Liao, PHD, Managing Member. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1891616876 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 23, 2026 |
| Last updated in NPPES | Jul 23, 2026 |
| Certified by provider | Jul 23, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
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 (GA) |
|---|
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