EXCLUDEDPROVIDER
Individual Revocation

Amanda Clark

Monticello, MS 39654

Public HHS-OIG LEIE exclusion record

According to the HHS-OIG List of Excluded Individuals/Entities (LEIE), Amanda Clark of Monticello, MS is currently excluded from participation in federally funded health care programs due to license revocation, suspension, or surrender, as of June 20, 2006.

Status
Currently listed by HHS-OIG
Record type
Individual
Location
Monticello, MS 39654
Exclusion date
June 20, 2006
Exclusion type
Revocation (1128b4)
Source dataset
May 2026

Record summary

Amanda Clark appears in the HHS-OIG List of Excluded Individuals/Entities (LEIE) public dataset as an individual record associated with Monticello, Mississippi. 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, 2006, 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, 2006
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 Monticello, MS 39654. The listed provider category is Nursing Profession. The listed specialty is Nurse / Nurses Aide.

Other excluded providers in Monticello, MS

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

Victory Mcinnis Individual Patient Abuse
Monticello, MS · Conviction relating to patient abuse or neglect · Excluded Oct 2022
Tashnika Madison Individual Patient Abuse
Monticello, MS · Conviction relating to patient abuse or neglect · Excluded Apr 2010
Earnestine Johnson Individual Patient Abuse
Monticello, MS · Conviction relating to patient abuse or neglect · Excluded May 1999

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 Mississippi More Records in Monticello More Revocation Records