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NPI 1093191389ActiveOrganization· Preferred Provider Organization· Smyrna, GA

Preferred Provider Organization in Smyrna, Georgia, registered in NPPES in August 2015. The authorized official on file is Shenithia Arnold, Licensed Professional Counselore.

Overview

NPI1093191389
StatusActive
Entity typeOrganization
NPI issuedAug 10, 2015
Last updated in NPPESAug 10, 2015

Specialties and licenses

TaxonomyCodeLicenseState
Preferred Provider Organization Primary305R00000XLPC007831GA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Preferred Provider Organization providers in Smyrna

All Preferred Provider Organization providers in Georgia