Jim Pang MD PLLC
NPI 1447620901ActiveOrganization· Clinic/Center· Cordova, TN
Clinic/Center in Cordova, Tennessee, registered in NPPES in September 2015. The authorized official on file is Jennifer Hamilton, Practice Administrator. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1447620901 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 28, 2015 |
| Last updated in NPPES | Jul 8, 2025 |
| Certified by provider | Jul 8, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center Primary | 261Q00000X | 017659 | TN |
| Clinic/Center, Mental Health (Including Community Mental Health Center) | 261QM0801X | — | — |
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) | Enrolled Part B Supplier - Clinic/Group Practice (MS); Part B Supplier - Clinic/Group Practice (TN) |
|---|
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