Port Charlotte Hma Physician Management LLC
NPI 1053983338ActiveOrganization· Psychiatry & Neurology, Neurology· Port Charlotte, FL
Psychiatry & Neurology, Neurology in Port Charlotte, Florida, registered in NPPES in July 2021. The authorized official on file is Jennifer L. Jackson, Sr Dir Prov Enrollment & Onboarding.
Overview
| NPI | 1053983338 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 15, 2021 |
| Last updated in NPPES | Mar 16, 2022 |
| Certified by provider | Mar 16, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychiatry & Neurology, Neurology Primary | 2084N0400X | — | — |
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 |
|---|
Other neurologists in Port Charlotte
- 1194975268
- 1730521873
- 1740610062
- 1013307222
- 1457070526
- 1487952826
- 1558535567
- 1831118611
- 1144282112