A Family Is Eternal
NPI 1699488494ActiveOrganization· Exclusive Provider Organization· Petersburg, VA
Exclusive Provider Organization in Petersburg, Virginia, registered in NPPES in December 2022. The authorized official on file is Nita Viann Randolph Davison, Manager.
Overview
| NPI | 1699488494 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 27, 2022 |
| Last updated in NPPES | Dec 27, 2022 |
| Certified by provider | Dec 27, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Exclusive Provider Organization Primary | 302F00000X | — | — |
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 |
|---|
Other Exclusive Provider Organization providers in Petersburg
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