Id Group, PLLC
NPI 1891884292ActiveOrganization· Specialist· Chattanooga, TN
Specialist in Chattanooga, Tennessee, registered in NPPES in October 2006. The authorized official on file is Shauna Wooten, Medical Billing Administrator. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1891884292 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 12, 2006 |
| Last updated in NPPES | Dec 15, 2022 |
| Certified by provider | Dec 15, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | — | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (GA); Part B Supplier - Clinic/Group Practice (TN) |
|---|
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