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Madison Healthplex and Sports Performance Center LLC

NPI 1184174914ActiveOrganization· Dietitian, Registered· Madison, MS

Dietitian, Registered in Madison, Mississippi, registered in NPPES in October 2016. The authorized official on file is Greg Centilli, Executive Director.

Overview

NPI1184174914
StatusActive
Entity typeOrganization
NPI issuedOct 5, 2016
Last updated in NPPESOct 5, 2016

Specialties and licenses

TaxonomyCodeLicenseState
Dietitian, Registered Primary133V00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Dietitian, Registered providers in Madison

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