Restoration Clinic
NPI 1174226757ActiveOrganization· Nurse Practitioner, Primary Care· Decatur, TN
Nurse Practitioner, Primary Care in Decatur, Tennessee, registered in NPPES in March 2023, part of Restoration Clinic. The authorized official on file is English Paige Roberts, FNP, Owner. Enrolled in Medicare as part a provider - rural health clinic.
Overview
| NPI | 1174226757 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Restoration Clinic |
| NPI issued | Mar 23, 2023 |
| Last updated in NPPES | Feb 6, 2024 |
| Certified by provider | Feb 6, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Primary Care Primary | 363LP2300X | — | — |
| Clinic/Center, Primary Care | 261QP2300X | — | — |
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 A Provider - Rural Health Clinic (TN) |
|---|
Other primary care nurse practitioners in Decatur
- 1326384991
- 1023540291