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Amethyst LLC

NPI 1255773792ActiveOrganization· Exclusive Provider Organization· Wilson, NC

Exclusive Provider Organization in Wilson, North Carolina, registered in NPPES in July 2013. The authorized official on file is Tammy Sherrell Coleman, Owner.

Overview

NPI1255773792
StatusActive
Entity typeOrganization
NPI issuedJul 25, 2013
Last updated in NPPESJul 25, 2013

Specialties and licenses

TaxonomyCodeLicenseState
Exclusive Provider Organization Primary302F00000X1207282NC

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 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