Diagnostic Clinic Medical Group Inc
NPI 1124690433ActiveOrganization· Family Medicine· Saint Petersburg, FL
Family Medicine in Saint Petersburg, Florida, registered in NPPES in July 2021, part of Diagnostic Clinic Medical Group Inc. The authorized official on file is Gina Marie Prebeck, Vp Of Operations.
Overview
| NPI | 1124690433 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Diagnostic Clinic Medical Group Inc |
| NPI issued | Jul 15, 2021 |
| Last updated in NPPES | Jul 15, 2021 |
| Certified by provider | Jul 15, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Physician Assistant | 363A00000X | — | — |
| Nurse Practitioner, Family | 363LF0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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 |
|---|
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