Sdd Management
NPI 1770178212ActiveOrganization· Nurse Practitioner, Family· Statesville, NC
Nurse Practitioner, Family in Statesville, North Carolina, registered in NPPES in March 2021. The authorized official on file is Sharan Adams, Owner. Enrolled in Medicare as part b supplier - mass immunization (roster biller only).
Overview
| NPI | 1770178212 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 6, 2021 |
| Last updated in NPPES | Mar 6, 2021 |
| Certified by provider | Mar 6, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
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 - Mass Immunization (Roster Biller Only) (NC) |
|---|
Other Nurse Practitioner, Family providers in Statesville
- 1477789147
- 1407883861
- 1780257691
- 1326540410
- 1760854210
- 1760091649
- 1336674423
- 1497395198
- 1578915468
- 1760317994
- 1558324152
- 1902270499
All Nurse Practitioner, Family providers in North Carolina →