Boatox LLC
NPI 1770441248ActiveOrganization· Nurse Practitioner, Family· Ridgeland, MS
Nurse Practitioner, Family in Ridgeland, Mississippi, registered in NPPES in January 2026. The authorized official on file is Teresa Green, Revenue Cycle Admin. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1770441248 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 13, 2026 |
| Last updated in NPPES | Jan 13, 2026 |
| Certified by provider | Jan 13, 2026 |
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 - Clinic/Group Practice (MS) |
|---|
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