Inside Out Advanced Wound Care LLC
NPI 1407724164ActiveOrganization· Surgery, Plastic and Reconstructive Surgery· Atlanta, GA
Surgery, Plastic and Reconstructive Surgery in Atlanta, Georgia, registered in NPPES in October 2025. The authorized official on file is Miranda Bowen, Credentialing. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1407724164 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 24, 2025 |
| Last updated in NPPES | Jun 19, 2026 |
| Certified by provider | Jun 19, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Plastic and Reconstructive Surgery Primary | 2086S0122X | — | — |
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) | Enrolled Part B Supplier - Clinic/Group Practice (GA) |
|---|
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