Mobile Medical Clinic PLLC
NPI 1275567125ActiveOrganization· Physician Assistant· Lebanon, TN
Physician Assistant in Lebanon, Tennessee, registered in NPPES in July 2006. The authorized official on file is Craig E. Dean, PA, Owner.
Overview
| NPI | 1275567125 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 10, 2006 |
| Last updated in NPPES | Apr 17, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
| Nurse Practitioner, Family | 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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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