Legacy Medical Clinic With Mental Health, LLC
NPI 1245095843ActiveOrganization· Nurse Practitioner, Family· Temple Hills, MD
Nurse Practitioner, Family in Temple Hills, Maryland, registered in NPPES in February 2024. The authorized official on file is Chuks Nwaulu, Owner.
Overview
| NPI | 1245095843 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 14, 2024 |
| Last updated in NPPES | Feb 14, 2024 |
| Certified by provider | Feb 13, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | — | — |
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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