Gooden Mobile Pod Nc PLLC
NPI 1073003752ActiveOrganization· Podiatrist· Fayetteville, NC
Podiatrist in Fayetteville, North Carolina, registered in NPPES in May 2018. The authorized official on file is Tamika Gooden, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1073003752 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 17, 2018 |
| Last updated in NPPES | May 17, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Podiatrist Primary | 213E00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NC) |
|---|
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