Marvel Clinic P.C.
NPI 1760487086ActiveOrganization· Specialist· Tullahoma, TN
Specialist in Tullahoma, Tennessee, registered in NPPES in June 2005. The authorized official on file is Tracy Dawn Wilkins, Credentialing Facilitator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1760487086 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 14, 2005 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | — | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TN) |
|---|
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