My Choice Operating Company LLC
NPI 1174112007ActiveOrganization· General Practice· Jacksonville, FL
General Practice in Jacksonville, Florida, registered in NPPES in January 2021. The authorized official on file is Robert G. Young, Secretary & Cao. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1174112007 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 14, 2021 |
| Last updated in NPPES | Dec 27, 2023 |
| Certified by provider | Dec 27, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
| Counselor, Mental Health | 101YM0800X | — | — |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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