Port Medical Management Inc
NPI 1932731361ActiveOrganization· Family Medicine· Bainbridge, GA
Family Medicine in Bainbridge, Georgia, registered in NPPES in February 2020. The authorized official on file is Jennifer Moore, Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1932731361 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 4, 2020 |
| Last updated in NPPES | Feb 5, 2020 |
| Certified by provider | Feb 5, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Nurse Practitioner, Family | 363LF0000X | — | — |
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) |
|---|
Other Family Medicine providers in Bainbridge
- 1134943897
- 1467624056
- 1689343014
- 1598920951
- 1043056443
- 1700589454
- 1831189984
- 1134133523
- 1851884068
- 1972570943
- 1134756463