Davin Ray Modisette
NPI 1356721245ActiveIndividual· Radiologic Technologist· Jackson, TN
Radiologic Technologist in Jackson, Tennessee, licensed in TN, with an NPI issued in June 2015.
Overview
| NPI | 1356721245 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jun 4, 2015 |
| Last updated in NPPES | Dec 28, 2022 |
| Certified by provider | Dec 28, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiologic Technologist Primary | 247100000X | 487010 | TN |
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 |
|---|