Integral Mental Healthcare PLLC
NPI 1750999876ActiveOrganization· Physician Assistant· Fayetteville, NC
Physician Assistant in Fayetteville, North Carolina, registered in NPPES in July 2020. The authorized official on file is Jacqueline Bennett Hudson, PA-C, Pa-C. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1750999876 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 14, 2020 |
| Last updated in NPPES | Mar 14, 2025 |
| Certified by provider | Mar 14, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NC) |
|---|
Other Physician Assistant providers in Fayetteville
- 1245776780
- 1528470325
- 1568701654
- 1942505813
- 1457655953
- 1568129146
- 1205231792
- 1912908062
- 1295118206
- 1922706142
- 1750514386
- 1962785238