Mississippi Center for Advanced Medicine, PC
NPI 1508426917ActiveOrganization· Specialist· Slidell, LA
Specialist in Slidell, Louisiana, registered in NPPES in June 2019, part of Mississippi Center for Advanced Medicine, PC. The authorized official on file is Spencer K. Sullivan, Ceo/Owner.
Overview
| NPI | 1508426917 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Mississippi Center for Advanced Medicine, PC |
| NPI issued | Jun 18, 2019 |
| Last updated in NPPES | Jun 18, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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