Rebirth Advanced Healing LLC
NPI 1174390413ActiveOrganization· Specialist· Johnson City, TN
Specialist in Johnson City, Tennessee, registered in NPPES in December 2023. The authorized official on file is Aaron Trey Stapleton, Owner.
Overview
| NPI | 1174390413 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 6, 2023 |
| Last updated in NPPES | Aug 16, 2024 |
| Certified by provider | Aug 16, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | — | — |
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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All 15 Specialist providers in Johnson City · All Specialist providers in Tennessee