Mission Health Community Multispecialty Providers, LLC
NPI 1366912586ActiveOrganization· Internal Medicine· Arden, NC
Internal Medicine in Arden, North Carolina, registered in NPPES in November 2018, part of Mission Health Community Multispecialty Providers, LLC. The authorized official on file is Tedrick Johnson, Group Vice President.
Overview
| NPI | 1366912586 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Mission Health Community Multispecialty Providers, LLC |
| NPI issued | Nov 30, 2018 |
| Last updated in NPPES | Aug 7, 2026 |
| Certified by provider | Aug 7, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
| Physician Assistant | 363A00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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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