NPI

Centennial Medical Group Llp

This page is a copy of the public NPPES file.

Facts

Status
Active
Type
Organization
Enumeration date
2025-07-08
Last updated
2025-07-08

Specialties

Licenses

The registry row did not include a license.

Location

Practice location
7800 Constitution Ave Ne
City
Albuquerque NM
Postal code
87110-7552
Phone
(505) 296-6565

Organization contact

Name
KELLIE MERRILL
Title
Director of Billing
Phone
7028391203

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.

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