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Georgia Medicaid lookup

One provider matched this Medicaid ID.

Georgia Medicaid ID 904817618D resolves to a single NPI record. Open the full profile for complete detail.

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KD
NPI · 1437125812 · Active
Kenneth Depersio MD
Orthopaedic Surgery · Douglas, Georgia
Active
NPI
1437125812
Medicaid (GA)
904817618D
Taxonomy
207X00000X
State
Georgia

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

  • 341176GA· Issued by WELLCARE OF GEORGIA
  • 956500GA· Issued by BCBS
  • 205778734002· Issued by TRICARE
  • GRP7930GA· Issued by MEDICARE GROUP # EFFECTIVE 02/01/2008
  • P00127268GA· Issued by RAILROAD MEDICARE
  • 053329GA· Issued by MEDICAL LICENSE
  • 053329GA· Issued by GA LICENSE

Source: NPPES public registry.

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.