EXCLUDEDPROVIDER
Individual Revocation

Gloria V Staples

Lawrenceville, GA 30046

Public HHS-OIG LEIE exclusion record

Gloria V Staples of Lawrenceville, GA is registered in the CMS NPI Registry under National Provider Identifier (NPI) 1174589618 with a primary specialty of Internal Medicine. According to the HHS-OIG List of Excluded Individuals/Entities (LEIE), Gloria V Staples is currently excluded from participation in federally funded health care programs due to license revocation, suspension, or surrender, as of February 18, 2016.

Status
Currently listed by HHS-OIG
Record type
Individual
Location
Lawrenceville, GA 30046
Exclusion date
February 18, 2016
Exclusion type
Revocation (1128b4)
NPI
1174589618

Record summary

Gloria V Staples appears in the HHS-OIG List of Excluded Individuals/Entities (LEIE) public dataset as an individual record associated with Lawrenceville, Georgia. 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 18, 2016, 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 18, 2016
Exclusion typeLicense revocation, suspension, or surrender (1128b4)
NPI1174589618
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 Lawrenceville, GA 30046. The listed provider category is Physician (MD, DO). The listed specialty is General Practice.

NPI Registry context

The LEIE record lists NPI 1174589618. CMS NPPES public registry data lists this NPI as an individual record with primary taxonomy Internal Medicine (207R00000X). Registered practice location: Hopkinsville, KY. NPI enumeration date: Apr 25, 2006. NPPES status: Active. The NPI Registry lists credential: MD.

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 Lawrenceville, GA

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

Pedro Josaphat Individual Revocation
Lawrenceville, GA · License revocation, suspension, or surrender · Excluded Oct 2024
Sheri Ann Almond Individual Program Crime
Lawrenceville, GA · Conviction of program-related crimes · Excluded Feb 2024
Paul Osuegbu Individual Program Crime
Lawrenceville, GA · Conviction of program-related crimes · Excluded Apr 2023
George Nicholas Kuiper Individual Drug Felony
Lawrenceville, GA · Felony conviction relating to controlled substance · Excluded Nov 2022
Fernando Juarez Individual Patient Abuse
Lawrenceville, GA · Conviction relating to patient abuse or neglect · Excluded Jan 2021
John Anthony Marsh Individual Program Crime
Lawrenceville, GA · Conviction of program-related crimes · Excluded Jul 2020
Jennifer Lynn Robinette Individual Program Crime
Lawrenceville, GA · Conviction of program-related crimes · Excluded Jun 2019
Frances Yvonne Hendrix Individual Program Crime
Lawrenceville, GA · Conviction of program-related crimes · Excluded Nov 2018

See all 31 excluded providers in Lawrenceville →

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.

Verify this record with the official HHS-OIG source Save or print this record Monitor this provider/entity Need to screen a list? Join the bulk screening beta

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