Mission Community Anesthesiology Specialists LLC
NPI 1619447828ActiveOrganization· Family Medicine· Arden, NC
Family Medicine in Arden, North Carolina, registered in NPPES in November 2018, part of Mission Community Anesthesiology Specialists LLC. The authorized official on file is Marilyn Tatham, Provider Enrollment Manager.
Overview
| NPI | 1619447828 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Mission Community Anesthesiology Specialists LLC |
| NPI issued | Nov 30, 2018 |
| Last updated in NPPES | Dec 3, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
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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