Community Based Healthcare Services
NPI 1316389901ActiveOrganization· Preferred Provider Organization· Tucker, GA
Preferred Provider Organization in Tucker, Georgia, registered in NPPES in July 2013. The authorized official on file is Derrick Boswell, BS PSYCHOLOGY, Director.
Overview
| NPI | 1316389901 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 23, 2013 |
| Last updated in NPPES | Jul 23, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Preferred Provider Organization Primary | 305R00000X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Preferred Provider Organization providers in Tucker
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- 1346413481