● 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
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
Identifiers
| Type | Value | Notes |
| 05 (GA) |
000149487B |
|
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Practice context
Single-site organization. Only one practice location on file.
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How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.