EXCLUDEDPROVIDER
Individual Program Crime

Halisi Staten

Stone Mountain, GA 30087

Public HHS-OIG LEIE exclusion record

The HHS-OIG List of Excluded Individuals/Entities (LEIE) file imported by ExcludedProvider.com on October 4, 2026 contains a record for Halisi Staten of Stone Mountain, GA with exclusion type 1128a1, which HHS-OIG's list of exclusion authorities describes as “conviction of program-related crimes”, and an exclusion date of December 20, 2018. This page is not an official HHS-OIG record, and a matching name alone does not show that the record refers to a particular person; confirm identity and current status with HHS-OIG.

The LEIE record lists NPI 1881610673.

Status
Listed in the LEIE file imported October 4, 2026
Record type
Individual
Location
Stone Mountain, GA 30087
Exclusion date
December 20, 2018
Exclusion type
Program Crime (1128a1)
NPI (as listed in LEIE)
1881610673

Record summary

Halisi Staten appears in the HHS-OIG List of Excluded Individuals/Entities (LEIE) public dataset as an individual record associated with Stone Mountain, Georgia. The exclusion date shown in the source record is December 20, 2018. The exclusion type is 1128a1, identified by HHS-OIG as conviction of program-related crimes.

Source record

SourceHHS-OIG LEIE downloadable file (UPDATED.csv)
Record typeIndividual
Status in imported filesListed in the LEIE file imported October 4, 2026
Exclusion dateDecember 20, 2018
Exclusion typeConviction of program-related crimes (1128a1)
NPI (as listed in LEIE)1881610673
LEIE file importedOctober 4, 2026
File timestampSeptember 10, 2026 (Last-Modified header from the HHS-OIG download server; not an official release date)
HHS-OIG release dateNot independently verified

What this exclusion type means

HHS-OIG identifies exclusion type 1128a1 as “Conviction of program-related crimes.” Conviction of a criminal offense related to the delivery of an item or service under Medicare or a State health care program (mandatory exclusion, minimum 5 years).

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 Stone Mountain, GA 30087. The listed provider category is Individual - Licensed Health Care Service Provider. The listed specialty is Psychology.

NPI Registry context

The LEIE record lists NPI 1881610673. CMS NPPES public registry data lists this NPI as an individual record with primary taxonomy Counselor, Mental Health (101YM0800X). Registered practice location: Decatur, GA. NPI enumeration date: Jul 14, 2006. NPPES status: Active. The NPI Registry lists credential: Psy.D..

NPI Registry data is administrative provider-identification data from CMS. The NPI above is the one written in the LEIE record; this page does not confirm that the registry entry and the LEIE record refer to the same provider, and registry data does not verify or explain the exclusion. Verify identity and exclusion status directly with HHS-OIG.

Other excluded providers in Stone Mountain, GA

Other individuals and entities in the latest imported HHS-OIG LEIE file with a Stone Mountain, GA address.

Chevette Austin Individual Program Crime
Stone Mountain, GA · Conviction of program-related crimes · Exclusion date Dec 20, 2023
Demario Phillips Individual Program Crime
Stone Mountain, GA · Conviction of program-related crimes · Exclusion date Oct 19, 2017
Timothy Batts Individual Program Crime
Stone Mountain, GA · Conviction of program-related crimes · Exclusion date Nov 20, 2012
Chauncey Beckwith Individual Program Crime
Stone Mountain, GA · Conviction of program-related crimes · Exclusion date Jun 17, 2010
Abdul Baaqee Muhammad Individual Revocation
Stone Mountain, GA · License revocation, suspension, or surrender · Exclusion date Jun 17, 2004
Calvin A Rodwell Individual Kickbacks
Stone Mountain, GA · Fraud, kickbacks, and other prohibited activities · Exclusion date Sep 19, 2003
William Johnson Individual Program Crime
Stone Mountain, GA · Conviction of program-related crimes · Exclusion date Sep 20, 2001
Joseph Williams Individual Program Crime
Stone Mountain, GA · Conviction of program-related crimes · Exclusion date May 20, 2001

See all 18 excluded providers in Stone Mountain →

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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