Etteilla Wellness Services PLLC
NPI 1528646262ActiveOrganization· Family Medicine· Cary, NC
Family Medicine in Cary, North Carolina, registered in NPPES in April 2021. The authorized official on file is Shirley McDowell, Owner. Enrolled in Medicare as part b supplier - mass immunization (roster biller only).
Overview
| NPI | 1528646262 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 1, 2021 |
| Last updated in NPPES | Apr 1, 2021 |
| Certified by provider | Apr 1, 2021 |
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 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Mass Immunization (Roster Biller Only) (NC) |
|---|
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