Liberty Medical Care Services, LLC
NPI 1174920300ActiveOrganization· Nurse Practitioner· Whiteville, NC
Nurse Practitioner in Whiteville, North Carolina, registered in NPPES in December 2014, part of Liberty Healthcare Group, LLC. The authorized official on file is Joe Calcutt, Cfo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1174920300 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Liberty Healthcare Group, LLC |
| NPI issued | Dec 3, 2014 |
| Last updated in NPPES | Jun 19, 2023 |
| Certified by provider | Mar 15, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | — | — |
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 (NC) |
|---|
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