Saint Augustines University
NPI 1336871151ActiveOrganization· Family Medicine, Sports Medicine· Raleigh, NC
Family Medicine, Sports Medicine in Raleigh, North Carolina, registered in NPPES in June 2022. The authorized official on file is Mouzon Bass, Administrator/Agent.
Overview
| NPI | 1336871151 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 29, 2022 |
| Last updated in NPPES | Jun 29, 2022 |
| Certified by provider | Jun 29, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine, Sports Medicine Primary | 207QS0010X | — | — |
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 |
|---|
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