East Main Family Medical Clinic LLC
NPI 1285072058ActiveOrganization· Nurse Practitioner· Tupelo, MS
Nurse Practitioner in Tupelo, Mississippi, registered in NPPES in June 2013. The authorized official on file is Rodney Rodgers, FNP, Owner/Nurse Practitioner.
Overview
| NPI | 1285072058 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 13, 2013 |
| Last updated in NPPES | Sep 8, 2020 |
| Certified by provider | Sep 8, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | — | — |
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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