James Davin Dickerson
Debarred entityBorn 22 Jan 1960 (66 years old),United States. Named in 3 sanctions listings.
Summary
State license type / number: ARNP / A108066
Sanctions and listings3
- Listed
- 8 Sep 2026
- Effective
- 20 Aug 2026
Reciprocal
HHSUS SAM Procurement ExclusionsUnited StatesActive
Prohibition/Restriction
Excluded by the Department of Health and Human Services pursuant to section 1128 or other sections of the Social Security Act from participation in all Federal health care programs (the scope and effect of Federal health care program exclusions is described in 42 C.F.R. section 1001.1901).
- Effective
- 20 Aug 2026
List of Excluded Individuals/Entities (LEIE)
Department of Health and Human Services Office of Inspector GeneralUS Health and Human Services Inspector General ExclusionsUnited States
1128b4
Programme US-HHS-OIGoig.hhs.govoig.hhs.gov
- Effective
- 10 Jun 2025
Official designation
Iowa Health & Human ServicesUS Iowa Medicaid Terminated Provider ListUnited States
Sanction end as published: Indefinite
Termination
441 iAC 792.2(2)(f)(k)(m)(v)
Positions held1
Period not retained
NURSE PRACTITIONER ( (IND- LIC HC SERV PRO)
Identifiers1
| Identifier | Number |
|---|---|
| NPI number | 1801839444 |
Addresses2
NEOLA, IA 51559
30703 2ND ST, NEOLA, IA 51559
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