Dmc Physician Group LLC
NPI 1124430020 · Multi-Specialty Clinic/Center · Fitzgerald, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dmc Physician Group LLC is a Multi-Specialty Clinic/Center organization in Fitzgerald, GA (NPI 1124430020).
Provider details
- NPI number
- 1124430020
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Paige Wynn, Interim Ceo(478) 289-1376
Specialties & taxonomies
Ambulatory Health Care Facilities
- Surgery Physician208600000X
Allopathic & Osteopathic Physicians
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
- Hospitalist Physician208M00000X
Allopathic & Osteopathic Physicians
- Rural Health Clinic/Center261QR1300X
Ambulatory Health Care Facilities
- Psychiatric Hospital Unit273R00000X
Hospital Units
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-05-27
- Last updated
- 2025-05-19
- Certified
- 2025-05-19
Frequently asked questions
- What is Dmc Physician Group LLC's NPI number?
- Dmc Physician Group LLC's National Provider Identifier (NPI) is 1124430020, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dmc Physician Group LLC?
- Dmc Physician Group LLC is classified in the NPPES registry as Multi-Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Dmc Physician Group LLC located?
- Dmc Physician Group LLC's practice location on file with NPPES is 200 Perry House Rd, Fitzgerald, GA 31750-8857.
- What is Dmc Physician Group LLC's phone number?
- The practice phone number listed in the NPPES registry for Dmc Physician Group LLC is (229) 424-7260.
- Does Dmc Physician Group LLC accept Medicare?
- Dmc Physician Group LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Dmc Physician Group LLC?
- The authorized official listed on Dmc Physician Group LLC's NPPES record is Paige Wynn, Interim Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dmc Physician Group LLC's NPI active?
- Yes — Dmc Physician Group LLC's NPI (1124430020) is active in the NPPES registry as of the last update on 2025-05-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.