Pure Health Medicine LLC
NPI 1548833452ActiveOrganization· Nurse Practitioner, Family· Marietta, GA
Nurse Practitioner, Family in Marietta, Georgia, registered in NPPES in July 2021. The authorized official on file is Paulette Decontee Kpannah, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1548833452 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 19, 2021 |
| Last updated in NPPES | Sep 24, 2021 |
| Certified by provider | Sep 24, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
| Family Medicine | 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 - Clinic/Group Practice (GA) |
|---|
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