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Dynamic Healthcare

NPI 1366851552ActiveOrganization· Nurse Practitioner, Family· Stockbridge, GA

Nurse Practitioner, Family in Stockbridge, Georgia, registered in NPPES in August 2014. The authorized official on file is Bridget Randolph, NP, Nurse Practitioner.

Overview

NPI1366851552
StatusActive
Entity typeOrganization
NPI issuedAug 13, 2014
Last updated in NPPESAug 13, 2014

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner, Family Primary363LF0000X230003GA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Nurse Practitioner, Family providers in Stockbridge

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