EXCLUDEDPROVIDER
Individual Revocation

Connie Beth Polk

Pell City, AL 35128

Public HHS-OIG LEIE exclusion record

According to the HHS-OIG List of Excluded Individuals/Entities (LEIE), Connie Beth Polk of Pell City, AL is currently excluded from participation in federally funded health care programs due to license revocation, suspension, or surrender, as of February 19, 2009.

Status
Currently listed by HHS-OIG
Record type
Individual
Location
Pell City, AL 35128
Exclusion date
February 19, 2009
Exclusion type
Revocation (1128b4)
Source dataset
May 2026

Record summary

Connie Beth Polk appears in the HHS-OIG List of Excluded Individuals/Entities (LEIE) public dataset as an individual record associated with Pell City, Alabama. The latest imported LEIE dataset lists this record as currently excluded from participation in federally funded health care programs. The exclusion date shown in the source record is February 19, 2009, and the exclusion type is 1128b4, identified by HHS-OIG as license revocation, suspension, or surrender.

Source record

SourceHHS-OIG LEIE (public dataset)
Record typeIndividual
Current statusCurrently listed by HHS-OIG
Exclusion dateFebruary 19, 2009
Exclusion typeLicense revocation, suspension, or surrender (1128b4)
Source dataset dateMay 2026

What this exclusion type means

HHS-OIG identifies exclusion type 1128b4 as “License revocation, suspension, or surrender.” License revocation, suspension, or surrender (permissive exclusion).

This exclusion type is a statutory category used by HHS-OIG in the LEIE dataset. The category describes the legal authority associated with the exclusion record, not a separate investigation or additional reporting by Excluded Provider.

Location and provider classification

This LEIE record is associated with Pell City, AL 35128. The listed provider category is Nursing Profession. The listed specialty is Nurse / Nurses Aide.

Other excluded providers in Pell City, AL

Other individuals and entities currently listed in the HHS-OIG LEIE public dataset with a Pell City, AL address.

Mary Joyce St John Individual Revocation
Pell City, AL · License revocation, suspension, or surrender · Excluded Dec 2019
Ellen Marie Pierce Individual Revocation
Pell City, AL · License revocation, suspension, or surrender · Excluded Jun 2014
Aisha Lisette Embery Individual Patient Abuse
Pell City, AL · Conviction relating to patient abuse or neglect · Excluded Jul 2012
Mary Bingham Vance Individual Revocation
Pell City, AL · License revocation, suspension, or surrender · Excluded Dec 2004
Leigh M Munkus Individual Revocation
Pell City, AL · License revocation, suspension, or surrender · Excluded Sep 1999
Jack Pounders Individual Kickbacks
Pell City, AL · Fraud, kickbacks, and other prohibited activities · Excluded May 1983

How to verify this record

This page is a public-record summary and should be treated as a possible LEIE match, not final identity verification. To verify the record, use the official HHS-OIG LEIE search and compare available identifying information through the official process. Name, location, provider category, specialty, exclusion date, and NPI should be treated as matching clues rather than final proof of identity.

What this page does not include

This page summarizes the HHS-OIG LEIE public dataset only. It does not search state Medicaid exclusion lists, state licensing-board actions, court records, malpractice records, employment history, civil lawsuits, or non-public investigations.

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Related

More Excluded Individuals in Alabama More Records in Pell City More Revocation Records