P Praxis·MD
● Active Type 2 · Organization

Bacchus Operations Group, Inc

Clinic/Center·Montezuma, GA· NPI 1184051567 · Enumerated 2013 · 12 years on NPI
Bacchus Operations Group, Inc is 1 of 354 clinic/center organizations in Georgia.
NPI age
12 years
Enumerated 2013-10-01
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Eastman, III
Ceo
Last NPPES update
2013-10-01
Source: monthly bulk 2026-05

How this organization compares

Across 354 active clinic/center providers in Georgia.

NPI age
12 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2013 → 2026

2013-10Enumerated in NPPES
2013 2026

Where they practice

Primary practice location
502 Sumter St, Suite B
Montezuma, GA 310631734
📞 4784728178fax 4784723289
Mailing address
502 Sumter St, Suite B
Montezuma, GA 310631734
📞 4784728178fax 4784723289

Authorized official

Philip H Eastman, III
Ceo
📞 7709046731

Individual providers at this organization

2 individual providers on file at this primary practice address.

Specialties

  • Clinic/Center Primary
    Definition to come...
    GA license #094391 taxonomy 261QU0200X

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Flint River Urgent Care
    Type code 3 recorded 2013-10-01

Practice context

Multi-provider organization. 2 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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