Tmg Medical Management
NPI 1013544063ActiveOrganization· Nurse Practitioner, Family· Port St Lucie, FL
Nurse Practitioner, Family in Port St Lucie, Florida, registered in NPPES in March 2020. The authorized official on file is Tammy Grisham, ARPN, Nurse Practitioner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1013544063 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 26, 2020 |
| Last updated in NPPES | Mar 26, 2020 |
| Certified by provider | Mar 26, 2020 |
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) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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