Methodist Le Bonheur Community Outreach
NPI 1174872139ActiveOrganization· Pediatrics· Jackson, TN
Pediatrics in Jackson, Tennessee, registered in NPPES in September 2012. The authorized official on file is Pam Denise Burnett, Manager Of Operations.
Overview
| NPI | 1174872139 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 6, 2012 |
| Last updated in NPPES | Aug 19, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | — | — |
| Nurse Practitioner, Community Health | 363LC1500X | — | — |
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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