Club Haven Family Practice PA
NPI 1922323948ActiveOrganization· Family Medicine· Winston Salem, NC
Family Medicine in Winston Salem, North Carolina, registered in NPPES in April 2010. The authorized official on file is Mary J. Hatley, Practice Manager.
Overview
| NPI | 1922323948 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 1, 2010 |
| Last updated in NPPES | Apr 30, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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 |
|---|
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