Marathon Health LLC
NPI 1124989520ActiveOrganization· Nurse Practitioner, Primary Care· Tupelo, MS
Nurse Practitioner, Primary Care in Tupelo, Mississippi, registered in NPPES in November 2025, part of Marathon Health LLC. The authorized official on file is Charles Van Every, Manager.
Overview
| NPI | 1124989520 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Marathon Health LLC |
| NPI issued | Nov 24, 2025 |
| Last updated in NPPES | Nov 24, 2025 |
| Certified by provider | Nov 24, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Primary Care Primary | 363LP2300X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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