Buchanan Medical Clinic – Rural Health Clinic/Center, NPI 1508801416
Rural Health Clinic/Center
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Buchanan Medical Clinic
706 DIXIE ST STE 220
CARROLLTON, GA 301173819
Phone: (770) 838-8710
Type: Mailing
30, Buchanan Bypass, Buchanan, Haralson County, Georgia, 30113, United States
BUCHANAN, GA 301134924
Phone: (770) 646-8281
Fax: (770) 646-3579
Type: Location
100 GREENWAY BLVD FL 2
CARROLLTON, GA 301174338
Phone: (770) 838-8710
Type: Mailing
2908 BUSINESS 27
BUCHANAN, GA 301134857
Phone: (770) 646-8281
Fax: (770) 646-3579
Type: Location
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: 2014-08-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-06-30 (343 days ago).
Enrollment records
2
Earliest due date
2025-06-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20040427000255 | O | Clinic/Group Practice | GA | TBD |
| O20140808001950 | O | Rural Health Clinic | GA | 2025-06-30 |
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.
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 30117)
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