Nmg Southpark Services, LLC
NPI 1952690109ActiveOrganization· Nurse Anesthetist, Certified Registered· Charlotte, NC
Nurse Anesthetist, Certified Registered in Charlotte, North Carolina, registered in NPPES in March 2011. The authorized official on file is Geoff Gardner, Vp Of Finance. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1952690109 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 28, 2011 |
| Last updated in NPPES | Nov 26, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | — | — |
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) | Enrolled Part B Supplier - Clinic/Group Practice (NC) |
|---|
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