Sixth Avenue Psychiatric Rehabilitation Partners
NPI 1194877357ActiveOrganization· Physician Assistant· Hendersonville, NC
Physician Assistant in Hendersonville, North Carolina, registered in NPPES in January 2007. The authorized official on file is Mary Jo Stark, Office Administrator.
Overview
| NPI | 1194877357 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 17, 2007 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 101236 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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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