Advanced Sports Injury & Spinal Care LLC
NPI 1275780181ActiveOrganization· Preferred Provider Organization· Jennings, LA
Preferred Provider Organization in Jennings, Louisiana, registered in NPPES in August 2008. The authorized official on file is Lisa G. Goddard, Office Mgr. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1275780181 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 21, 2008 |
| Last updated in NPPES | Sep 25, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Preferred Provider Organization Primary | 305R00000X | 1430 | LA |
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) | Enrolled Part B Supplier - Clinic/Group Practice (LA) |
|---|
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