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Tiara Bracey

NPI 1619609310ActiveIndividual· Prevention Professional· Riverdale, GA

Prevention Professional in Riverdale, Georgia, licensed in GA, with an NPI issued in June 2022.

Overview

NPI1619609310
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedJun 30, 2022
Last updated in NPPESJun 30, 2022
Certified by providerJun 21, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Prevention Professional Primary405300000X000000GA

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)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Prevention Professional providers in Riverdale

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