Journeycare Family Medicine, LLC
NPI 1932808094ActiveOrganization· Nurse Practitioner, Family· Fayetteville, GA
Nurse Practitioner, Family in Fayetteville, Georgia, registered in NPPES in February 2023. The authorized official on file is Shantrice Nichols-Bates, DNP, FNP-C, Co-Owner/ Medical Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1932808094 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 27, 2023 |
| Last updated in NPPES | Jan 16, 2025 |
| Certified by provider | Jan 16, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
| Clinic/Center, Primary Care | 261QP2300X | — | — |
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) |
|---|
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