EXCLUDEDPROVIDER
Individual Controlled Substance

Frederick T Sr Jackson

Roseville, MI 48066

Public HHS-OIG LEIE exclusion record

According to the HHS-OIG List of Excluded Individuals/Entities (LEIE), Frederick T Sr Jackson of Roseville, MI is currently excluded from participation in federally funded health care programs due to felony conviction relating to controlled substance, as of July 20, 2016.

Status
Currently listed by HHS-OIG
Record type
Individual
Location
Roseville, MI 48066
Exclusion date
July 20, 2016
Exclusion type
Controlled Substance (1128a4)
Source dataset
May 2026

Record summary

Frederick T Sr Jackson appears in the HHS-OIG List of Excluded Individuals/Entities (LEIE) public dataset as an individual record associated with Roseville, Michigan. 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 July 20, 2016, and the exclusion type is 1128a4, identified by HHS-OIG as felony conviction relating to controlled substance.

Source record

SourceHHS-OIG LEIE (public dataset)
Record typeIndividual
Current statusCurrently listed by HHS-OIG
Exclusion dateJuly 20, 2016
Exclusion typeFelony conviction relating to controlled substance (1128a4)
Source dataset dateMay 2026

What this exclusion type means

HHS-OIG identifies exclusion type 1128a4 as “Felony conviction relating to controlled substance.” Felony conviction relating to a controlled substance (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 Roseville, MI 48066. The listed provider category is Individual (Unaffiliated). The listed specialty is Recruiter / Capper.

Other excluded providers in Roseville, MI

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

Angela Hayes Individual Program Crime
Roseville, MI · Conviction of program-related crimes · Excluded May 2023
Usha Rani Sood Individual Program Crime
Roseville, MI · Conviction of program-related crimes · Excluded Jan 2020
Patricia Ann Tompkins Individual Program Crime
Roseville, MI · Conviction of program-related crimes · Excluded Nov 2014
James V Simpson Individual Controlled Substance
Roseville, MI · Misdemeanor conviction relating to controlled substance · Excluded Nov 1994

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 with HHS-OIG Remove / correct this record

Related

More excluded individuals in Michigan More records in Roseville More felony conviction relating to controlled substance records