Omni Clinic PA
NPI 1790748960ActiveOrganization· Exclusive Provider Organization· Jacksonville, NC
Exclusive Provider Organization in Jacksonville, North Carolina, registered in NPPES in April 2006. The authorized official on file is Teresa Burkett, Office Supervisor. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1790748960 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 10, 2006 |
| Last updated in NPPES | Aug 19, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Exclusive Provider Organization Primary | 302F00000X | 9901455 | NC |
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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