Person

James Davin Dickerson

Debarred entity

Born 22 Jan 1960 (66 years old),United States. Named in 3 sanctions listings.

Screen this subject

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).

    sam.gov

  • 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)

    hhs.iowa.gov

Positions held1

  1. Period not retained

    NURSE PRACTITIONER ( (IND- LIC HC SERV PRO)

Identifiers1

IdentifierNumber
NPI number1801839444

Addresses2

  • NEOLA, IA 51559

  • 30703 2ND ST, NEOLA, IA 51559

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