Forked Deer River Inpatient Services, PLLC
NPI 1750717195ActiveOrganization· Internal Medicine· Dyersburg, TN
Internal Medicine in Dyersburg, Tennessee, registered in NPPES in September 2013. The authorized official on file is Kathy Kondas, Officer.
Overview
| NPI | 1750717195 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 17, 2013 |
| Last updated in NPPES | Dec 21, 2020 |
| Certified by provider | Dec 21, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
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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