Nova Ic, Inc.
NPI 1053634824ActiveOrganization· Psychiatry & Neurology, Psychiatry· Goldsboro, NC
Psychiatry & Neurology, Psychiatry in Goldsboro, North Carolina, registered in NPPES in March 2010. The authorized official on file is Tracey Pridgen, Cfo.
Overview
| NPI | 1053634824 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 9, 2010 |
| Last updated in NPPES | Sep 23, 2026 |
| Certified by provider | Sep 23, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychiatry & Neurology, Psychiatry Primary | 2084P0800X | — | — |
| Family Medicine | 207Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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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