Carolina Concussion & Physical Medicine, PLLC
NPI 1124544499ActiveOrganization· Chiropractor, Rehabilitation· Wake Forest, NC
Chiropractor, Rehabilitation in Wake Forest, North Carolina, registered in NPPES in August 2017. The authorized official on file is Michael S. Decriscio, DC, Member. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1124544499 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 18, 2017 |
| Last updated in NPPES | May 20, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor, Rehabilitation Primary | 111NR0400X | 4670 | NC |
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 (NC) |
|---|