Community Medical Center – Federally Qualified Health Center (FQHC), NPI 1184884678

Community Medical Center is a healthcare provider. based in Palmetto, Georgia. specializing in Federally Qualified Health Center (FQHC). The organization holds a License No. H800040 (GA). The NPI Number for Community Medical Center is 1184884678

Main info

Organization
Name
Community Medical Center
NPI
1184884678
Phone
(404) 929-8824
Address
643 MAIN ST
Authorized Official
DR. TARA BROWN CHIEF EXECUTIVE OFFICER DMD
Enumeration Date
10 June 2008
Last Update Date
14 May 2025
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness80
Years active:18State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Community Medical Center

  • Main Street, Palmetto, Manatee County, Florida, 34221, United States

    PALMETTO, GA 302681138

    Phone: (404) 929-8824

    Fax: (404) 929-9769

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-04-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2025-11-30 (194 days ago).

Enrollment records

2

Earliest due date

2025-11-30

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20050919000940OFederally Qualified Health Center (Fqhc)GA2025-11-30
O20250404002525OClinic/Group PracticeGATBD

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30268)

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Reviews

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Frequently asked questions

What identifier follows Community Medical Center across health systems?
The NPI 1184884678 uniquely identifies Community Medical Center in U.S. healthcare data.
Is Community Medical Center currently accepting referrals based on NPI status?
Registry metadata lists Community Medical Center as active.
Which specialty label fits Community Medical Center?
NPPES ties Community Medical Center to Federally Qualified Health Center (FQHC) in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is Community Medical Center tied to Palmetto, Georgia?
If you are local to Palmetto, Georgia, Community Medical Center may be relevant to your search.
Can I export Community Medical Center's record?
You can download the official NPPES record; we summarize key fields for readability.

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