Imperial Lilly Holistic Health
NPI 1114722766ActiveOrganization· Nurse Practitioner, Family· Decatur, GA
Nurse Practitioner, Family in Decatur, Georgia, registered in NPPES in February 2025. The authorized official on file is Lillian Mugwede, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1114722766 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 18, 2025 |
| Last updated in NPPES | Feb 18, 2025 |
| Certified by provider | Feb 18, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
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) | Enrolled Part B Supplier - Clinic/Group Practice (GA) |
|---|
Other Nurse Practitioner, Family providers in Decatur
- 1992578728
- 1174057194
- 1417715251
- 1457156309
- 1225776834
- 1639950108
- 1841120466
- 1730010265
- 1699367367
- 1760243364
- 1134648595
- 1275247405