Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Medical Outreach Services of Madison PC

Organization Internal Medicine Physician · NPI 1972975886

Medical Outreach Services of Madison PC is an Internal Medicine Physician in Madison, Georgia. Licensed in Georgia. Registered with an NPI since 2015.

Licensed in
GA
In the registry since
2015
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1075 S Main St Ste 400
Madison, GA 30650-2033
Phone: (706) 342-9664
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X (GA)

Record details

NPI number1972975886
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Miguel Cossio — P · (706) 342-9664
NPI enumeratedOctober 30, 2015
Last updated in NPPESOctober 30, 2015
Mailing address1075 S Main St, Suite 400, Madison, GA 30650-2033

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