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Cyrus Family Medical Center

NPI 1578179230ActiveOrganization· Nurse Practitioner, Family· Jasper, TN

Nurse Practitioner, Family in Jasper, Tennessee, registered in NPPES in September 2020. The authorized official on file is Faramarz Ghanbari, FNP, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1578179230
StatusActive
Entity typeOrganization
NPI issuedSep 18, 2020
Last updated in NPPESSep 18, 2020
Certified by providerSep 18, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner, Family Primary363LF0000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (TN)

Medicare sources and data years

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