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NPI 1750725297ActiveOrganization· Preferred Provider Organization· Holly Springs, MS
Preferred Provider Organization in Holly Springs, Mississippi, registered in NPPES in April 2013. The authorized official on file is Theresia Phillips, Owner/Ceo.
Overview
| NPI | 1750725297 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 27, 2013 |
| Last updated in NPPES | Apr 27, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Preferred Provider Organization Primary | 305R00000X | — | MS |
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 |
|---|