Theresa McNeill Carmon
NPI 1336078658ActiveIndividual· Nurse Practitioner, Family· Wake Forest, NC
Nurse Practitioner, Family with Mainstreet and Kidsstreet of North Carolina PLLC, practicing in Wake Forest, North Carolina. Enrolled in Medicare as practitioner - nurse practitioner.
Overview
| NPI | 1336078658 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | May 14, 2026 |
| Last updated in NPPES | Jun 20, 2026 |
| Certified by provider | Jun 20, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 5024536 | NC |
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 Practitioner - Nurse Practitioner (NC) |
|---|
Education and affiliations
| Graduation year | 2025 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Mainstreet and Kidsstreet of North Carolina PLLCLocust, NC · 73 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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