Superiorcare Medical Group LLC
NPI 1124802178ActiveOrganization· Nurse Practitioner, Family· Cordova, TN
Nurse Practitioner, Family in Cordova, Tennessee, registered in NPPES in August 2023. The authorized official on file is Donna Luckett, FNP, Member. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1124802178 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 22, 2023 |
| Last updated in NPPES | Dec 11, 2024 |
| Certified by provider | Dec 11, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
| Family Medicine | 207Q00000X | — | — |
| Nurse Practitioner, Primary Care | 363LP2300X | — | — |
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) | Enrolled Part B Supplier - Clinic/Group Practice (MS); Part B Supplier - Clinic/Group Practice (TN) |
|---|
Other Nurse Practitioner, Family providers in Cordova
- 1902311723
- 1962942615
- 1285408187
- 1851053185
- 1942867049
- 1295157659
- 1417660648
- 1730880998
- 1437436318
- 1346162476
- 1558735845
- 1407272198