Middle Georgia Family Rehab
Health Maintenance Organization in Byron, GA. Organization (NPI-2).
NPI number1366844367
StatusActive
Last updated in NPPESSep 22, 2014
Details
- NPI
- 1366844367
- Entity type
- Organization (NPI-2)
- Legal business name
- Middle Georgia Family Rehab
- Organization subpart
- No
- Enumeration date
- Sep 22, 2014
- Last updated
- Sep 22, 2014
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 302R00000X | Health Maintenance Organization | PT002436 | GA | Yes |
Practice location
100 Hamilton Pointe Dr.Suite 115 & 120
Byron, GA 31008
Phone 478-956-4916 · Fax 478-956-0958
Mailing address
100 Hamilton Pointe DrP.O. Box 1552
Byron, GA 31008
Phone 478-956-4916
Authorized official
Brenda Hicks
Office Manager
4789564916
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