Columbus Chronic Care Medical Center LLC
NPI 1295122521ActiveOrganization· Nurse Practitioner, Family· Gahanna, OH
Nurse Practitioner, Family in Gahanna, Ohio, registered in NPPES in April 2015. The authorized official on file is Mulllissa Childress, FNP, Ceo.
Overview
| NPI | 1295122521 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 24, 2015 |
| Last updated in NPPES | Jul 21, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 16446-NP | OH |
| Clinic/Center | 261Q00000X | — | — |
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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