Magnolia Health, PLLC
NPI 1770342354ActiveOrganization· Nurse Practitioner, Family· Forest City, NC
Nurse Practitioner, Family in Forest City, North Carolina, registered in NPPES in March 2024. The authorized official on file is Clayton Moore, FNP, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1770342354 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 18, 2024 |
| Last updated in NPPES | Oct 14, 2024 |
| Certified by provider | Oct 14, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
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) | Enrolled Part B Supplier - Clinic/Group Practice (NC) |
|---|
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