P Praxis·MD
● Active Type 2 · Organization

Bacchus Operations Group, Inc.

Clinic/Center·Montezuma, GA· NPI 1518026202 · Enumerated 2006 · 19 years on NPI
Bacchus Operations Group, Inc. is 1 of 181 clinic/center organizations in Georgia.
NPI age
19 years
Enumerated 2006-12-08
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Eastman
Chief Executive Officer
Last NPPES update
2012-03-23
Source: monthly bulk 2026-05

How this organization compares

Across 181 active clinic/center providers in Georgia.

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

NPI lifetime · 2006 → 2026

2006-12Enumerated in NPPES
2006 2026

Where they practice

Primary practice location
509 Sumter Street
Montezuma, GA 310631733
📞 4784723100fax 4784722412
Mailing address
509 Sumter Street, Po Box 770
Montezuma, GA 310631733
📞 4784723100fax 4784722412

Authorized official

Philip H Eastman
Chief Executive Officer
📞 4784723100

Specialties

  • Clinic/Center Primary
    Definition to come...
    GA license #094-391 taxonomy 261QR1300X

Identifiers

TypeValueNotes
05 (GA) 000149487B

Other names on file (1)

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

  • Flint River Rural Health Clinic - Ellaville
    Type code 3 recorded 2007-12-14

Practice context

Single-site organization. Only one practice location on file.

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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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