Athens Immediate Care #1, LLC
NPI 1174836753ActiveOrganization· Nurse Practitioner, Acute Care· Athens, GA
Nurse Practitioner, Acute Care in Athens, Georgia, registered in NPPES in July 2010. The authorized official on file is Robert Wildmon, Executive Vice President.
Overview
| NPI | 1174836753 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 23, 2010 |
| Last updated in NPPES | Jul 23, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Acute Care Primary | 363LA2100X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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