Petre-Jo LLC
NPI 1063876076ActiveOrganization· Preferred Provider Organization· Madison, TN
Preferred Provider Organization in Madison, Tennessee, registered in NPPES in April 2016, part of Petre-Jo LLC. The authorized official on file is Peter Konecny, Managing Member.
Overview
| NPI | 1063876076 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Petre-Jo LLC |
| NPI issued | Apr 6, 2016 |
| Last updated in NPPES | Apr 6, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Preferred Provider Organization Primary | 305R00000X | L000000017166 | TN |
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 |
|---|