Banyan Family Night Clinic, LLC
NPI 1205318557ActiveOrganization· Nurse Practitioner, Family· Cleveland, TN
Nurse Practitioner, Family in Cleveland, Tennessee, registered in NPPES in September 2018. The authorized official on file is Tammy Wingo-Salmond, MSN, FNP, Provider/Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1205318557 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 4, 2018 |
| Last updated in NPPES | Sep 4, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
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 (TN) |
|---|
Other Nurse Practitioner, Family providers in Cleveland
- 1386049476
- 1174911838
- 1003109646
- 1356787592
- 1548770944
- 1730469958
- 1972510303
- 1851465439
- 1598482648
- 1700015799
- 1265818983
- 1306462478