Diabetes Center of Jackson, PLLC
NPI 1003315524ActiveOrganization· Nurse Practitioner, Family· Jackson, TN
Nurse Practitioner, Family in Jackson, Tennessee, registered in NPPES in February 2018. The authorized official on file is Tracy D. Little, ANP-BC, BC-ADM, Owner.
Overview
| NPI | 1003315524 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 10, 2018 |
| Last updated in NPPES | Mar 28, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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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