Preventagenix LLC
NPI 1619386877ActiveOrganization· Nurse Practitioner, Family· Jackson, TN
Nurse Practitioner, Family in Jackson, Tennessee, registered in NPPES in August 2014. The authorized official on file is Jeffrey W. Young, Fnp/Co-Owner.
Overview
| NPI | 1619386877 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 12, 2014 |
| Last updated in NPPES | Aug 12, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 7239 | TN |
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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