Direct Pay Provider Network LLC
NPI 1003436254ActiveOrganization· Contractor· Birmingham, AL
Contractor in Birmingham, Alabama, registered in NPPES in April 2020. The authorized official on file is Jason Washam, Provider Network Manager.
Overview
| NPI | 1003436254 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 17, 2020 |
| Last updated in NPPES | Apr 17, 2020 |
| Certified by provider | Apr 17, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Contractor Primary | 171W00000X | — | — |
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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