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NPI 1255686390ActiveIndividual· Case Manager/Care Coordinator· Stone Mountain, GA
Case Manager/Care Coordinator in Stone Mountain, Georgia, with an NPI issued in July 2012.
Overview
| NPI | 1255686390 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Jul 16, 2012 |
| Last updated in NPPES | Jul 16, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Case Manager/Care Coordinator Primary | 171M00000X | — | — |
| Counselor | 101Y00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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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All 20 Case Manager/Care Coordinator providers in Stone Mountain · All Case Manager/Care Coordinator providers in Georgia