Port Charlotte Hma Physician Management LLC
NPI 1467129791ActiveOrganization· Internal Medicine, Gastroenterology· Port Charlotte, FL
Internal Medicine, Gastroenterology in Port Charlotte, Florida, registered in NPPES in August 2021. The authorized official on file is Jennifer L. Jackson, Sr Dir Prov Enrollment & Onboarding.
Overview
| NPI | 1467129791 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 25, 2021 |
| Last updated in NPPES | Jul 25, 2022 |
| Certified by provider | Jul 25, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Gastroenterology Primary | 207RG0100X | — | — |
| Obstetrics & Gynecology | 207V00000X | — | — |
| Nurse Practitioner, Obstetrics & Gynecology | 363LX0001X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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