Kellogg Medical PLLC
NPI 1528699089ActiveOrganization· Family Medicine, Addiction Medicine· Charlotte, NC
Family Medicine, Addiction Medicine in Charlotte, North Carolina, registered in NPPES in February 2020. The authorized official on file is Alan Goodstat, LCSW, Coo.
Overview
| NPI | 1528699089 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 3, 2020 |
| Last updated in NPPES | Nov 27, 2023 |
| Certified by provider | Feb 26, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine, Addiction Medicine Primary | 207QA0401X | — | — |
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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