Atlantic Healthcare Services LLC
NPI 1912491739ActiveOrganization· Nurse Practitioner· Roanoke, VA
Nurse Practitioner in Roanoke, Virginia, registered in NPPES in June 2018. The authorized official on file is Diane Lynne Goodwin, RN, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1912491739 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 15, 2018 |
| Last updated in NPPES | Jun 15, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | — | — |
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 (VA) |
|---|
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