Pine Grove Association
NPI 1871316257ActiveOrganization· General Practice· Canton, MS
General Practice in Canton, Mississippi, registered in NPPES in November 2024. The authorized official on file is Angela Carson, Executive Director.
Overview
| NPI | 1871316257 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 5, 2024 |
| Last updated in NPPES | Dec 5, 2024 |
| Certified by provider | Dec 3, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other General Practice providers in Canton
- 1700235496