EXCLUDEDPROVIDER
Individual Revocation

Justin Dale Smith

Alexander, AR 72002

Public HHS-OIG LEIE exclusion record

Justin Dale Smith of Alexander, AR is registered in the CMS NPI Registry under National Provider Identifier (NPI) 1699141903 with a primary specialty of Nurse Anesthetist, Certified Registered. According to the HHS-OIG List of Excluded Individuals/Entities (LEIE), Justin Dale Smith is currently excluded from participation in federally funded health care programs due to license revocation, suspension, or surrender, as of June 20, 2018.

Status
Currently listed by HHS-OIG
Record type
Individual
Location
Alexander, AR 72002
Exclusion date
June 20, 2018
Exclusion type
Revocation (1128b4)
NPI
1699141903

Record summary

Justin Dale Smith appears in the HHS-OIG List of Excluded Individuals/Entities (LEIE) public dataset as an individual record associated with Alexander, Arkansas. 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 June 20, 2018, 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 dateJune 20, 2018
Exclusion typeLicense revocation, suspension, or surrender (1128b4)
NPI1699141903
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 Alexander, AR 72002. The listed provider category is Individual - Licensed Health Care Service Provider. The listed specialty is Nurse / Nurses Aide.

NPI Registry context

The LEIE record lists NPI 1699141903. CMS NPPES public registry data lists this NPI as an individual record with primary taxonomy Nurse Anesthetist, Certified Registered (367500000X). Registered practice location: Kennett, MO. NPI enumeration date: Aug 20, 2015. NPPES status: Active. The NPI Registry lists credential: CRNA.

NPI Registry data is administrative provider-identification data from CMS. It does not independently verify or explain the HHS-OIG exclusion record above. Verify exclusion status directly with HHS-OIG.

Other excluded providers in Alexander, AR

Other individuals and entities currently listed in the HHS-OIG LEIE public dataset with a Alexander, AR address.

S Michelle Ward Cullen Individual Revocation
Alexander, AR · License revocation, suspension, or surrender · Excluded Sep 2018
Larry Gene Mcfarlin Individual Revocation
Alexander, AR · License revocation, suspension, or surrender · Excluded Mar 2013
Toni Diane Mckeever Individual Revocation
Alexander, AR · License revocation, suspension, or surrender · Excluded Nov 2012
James Earl Hopes Individual Revocation
Alexander, AR · License revocation, suspension, or surrender · Excluded Oct 2006

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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