Ndc Family Care Inc, NPI 1669683546
Exclusive Provider Organization in Loganville, GA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1669683546
NPI Entity Type Organization
Provider Name Ndc Family Care Inc
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 3900 Hwy 81 South, Loganville, GA, US
Provider Mailing Address 3900 Hwy 81 South, Loganville, GA, US, 300523917
Is Sole Proprietor? No
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Organization Official

Official Name DR. M.D, Germaine D. Cummings
Official Position MEDICAL DOCTOR
Phone 770-554-8828

Primary Taxonomy

Taxonomy Code

302F00000X

Taxonomy Name Exclusive Provider Organization
Classification

Exclusive Provider Organization

Group

Managed Care Organizations

License No. 052340
License State GA
Description (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations.

Business Address

Ndc Family Care Inc
3900 Hwy 81 South

Loganville, GA, US

Phone: 770-554-8828
Fax: 770-554-9221

Mailing Address

Ndc Family Care Inc
3900 Hwy 81 South
Loganville, GA, US
ZIP 300523917
Phone: 770-554-8828
Fax: 770-554-9221

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
1871544775 GA INDIVIDUAL NPI#1871544775 01
052340 GA LICENSE# 052340 01

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