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NPI 1053684738ActiveOrganization· Exclusive Provider Organization· Forest City, NC
Exclusive Provider Organization in Forest City, North Carolina, registered in NPPES in February 2012. The authorized official on file is Millie Sims, Director.
Overview
| NPI | 1053684738 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 11, 2012 |
| Last updated in NPPES | Feb 11, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Exclusive Provider Organization Primary | 302F00000X | 207863 | NC |
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 |
|---|