Community Medical Center – Federally Qualified Health Center (FQHC), NPI 1740372473

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 1740372473

Main info

Organization
Name
Community Medical Center
NPI
1740372473
Phone
(404) 929-8824
Address
643 MAIN ST
Authorized Official
DR. JON WILLIAM WOLLENZIEN JR. CHIEF EXECUTIVE OFFICER DBA
Enumeration Date
29 September 2006
Last Update Date
10 September 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness80
Years active:19State licenses:1Digital endpointsUpdated within 12 months

Loading map...

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

Loading prescription activity...

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.

Medicare revalidation (CMS due date list)

Revalidation due soon

Earliest CMS due date is 2026-06-30 (18 days away).

Enrollment records

1

Earliest due date

2026-06-30

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
O20050919000671OFederally Qualified Health Center (Fqhc)GA2026-06-30

What to do next

  • Confirm the due date on the CMS Revalidation Lookup Tool.
  • Complete revalidation in PECOS before the published due date.
  • If you have multiple enrollment records, revalidate each one on its own schedule.

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)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What NPI should I save for Community Medical Center?
Save NPI 1740372473 if you need a stable reference for Community Medical Center.
Is Community Medical Center's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does Community Medical Center list a primary specialty?
If you are matching referrals, note Federally Qualified Health Center (FQHC) for Community Medical Center. Clinical services aligned with this taxonomy classification.
Where is Community Medical Center's primary listing?
We display Palmetto, Georgia because that is what the record indicates for Community Medical Center.
Is Community Medical Center a real provider?
This page reflects official NPPES data for NPI 1740372473. Always confirm identity and privileges with the practice and licensing boards.

Similar Providers

Community Medical Center

Federally Qualified Health Center (FQHC)
643 MAIN ST
NPI: 1134344732

YourTown Health

Federally Qualified Health Center (FQHC)
202, Croft Street, Carrollton, Carroll County, Georgia, 30117, United States
NPI: 1467612952

YourTown Health

Federally Qualified Health Center (FQHC)
Main Street, Palmetto, Manatee County, Florida, 34221, United States
NPI: 1164682662

Community Medical Center

Federally Qualified Health Center (FQHC)
Main Street, Palmetto, Manatee County, Florida, 34221, United States
NPI: 1184884678

YourTown Health

Federally Qualified Health Center (FQHC)
3939 WHITE HOUSE PARKWAY
NPI: 1497984769

YourTown Health Dental

Federally Qualified Health Center (FQHC)
Main Street, Palmetto, Manatee County, Florida, 34221, United States
NPI: 1053540328

YourTown Health

Federally Qualified Health Center (FQHC)
643 MAIN ST
NPI: 1235517343

YourTownHealth

Federally Qualified Health Center (FQHC)
Main Street, Palmetto, Manatee County, Florida, 34221, United States
NPI: 1952967234