One provider matched this Medicaid ID.
Georgia Medicaid ID 000000239A resolves to a single NPI record. Open the full profile for complete detail.
Secondary identifiers
Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.
Other
- 000020GA· Issued by BC/BS GA
- 111332A000000GA· Issued by TRAILBLAZER
Medicaid
Source: NPPES public registry.
Medicare enrollment
This provider holds 10 Medicare enrollments on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.
Part A Provider
- O20230202002375Critical Access HospitalGA
Part B Supplier
- O20040316000884Clinic/Group PracticeGA
- O20250909003273Clinic/Group PracticeTX
- O20250910000722Clinic/Group PracticeCO
- O20250910001494Clinic/Group PracticeDC
- O20250911003571Clinic/Group PracticeMI
- O20251007003038Clinic/Group PracticeKY
- O20251203003972Clinic/Group PracticeMA
- O20251211003100Clinic/Group PracticeCA
- O20260312001825Clinic/Group PracticePR
Source: CMS PECOS public enrollment file.
ReferenceAbout state Medicaid identifiers
State Medicaid programmes assign each enrolled provider a state-scoped identifier used on Medicaid claims. The identifier is reported to the federal NPPES registry alongside the provider's NPI and is mirrored here from the public dissemination file. Each state administers its own Medicaid programme, so the same provider can hold different Medicaid numbers in different states.