East Main Family Medical Clinic LLC
NPI 1003300815ActiveOrganization· Nurse Practitioner· Tupelo, MS
Nurse Practitioner in Tupelo, Mississippi, registered in NPPES in June 2018. The authorized official on file is Rodney Brian Rodgers, FNP, Owner/Nurse Practitioner.
Overview
| NPI | 1003300815 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 15, 2018 |
| Last updated in NPPES | Sep 8, 2020 |
| Certified by provider | Sep 8, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | R853214 | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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