Mancel Wakham LLC
NPI 1487475067ActiveOrganization· Family Medicine· Kingston, TN
Family Medicine in Kingston, Tennessee, registered in NPPES in October 2024. The authorized official on file is Mancel Wakhem, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1487475067 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 17, 2024 |
| Last updated in NPPES | Oct 17, 2024 |
| Certified by provider | Oct 17, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
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 (TN) |
|---|
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