En Bonne Sante Clinic LLC
NPI 1952134512ActiveOrganization· Nurse Practitioner, Family· McDonough, GA
Nurse Practitioner, Family in McDonough, Georgia, registered in NPPES in August 2024. The authorized official on file is Jeanine Clark, DNP, Nurse Practitioner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1952134512 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 20, 2024 |
| Last updated in NPPES | Sep 26, 2024 |
| Certified by provider | Sep 26, 2024 |
Specialties and licenses
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 (GA) |
|---|
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