EXCLUDEDPROVIDER
Individual Revocation

Van Harbert Temple

Madison, MS 39110

Public HHS-OIG LEIE exclusion record

Van Harbert Temple of Madison, MS is listed under National Provider Identifier (NPI) 1750479788. According to the HHS-OIG List of Excluded Individuals/Entities (LEIE), Van Harbert Temple is currently excluded from participation in federally funded health care programs due to license revocation, suspension, or surrender, as of October 20, 2010.

Status
Currently listed by HHS-OIG
Record type
Individual
Location
Madison, MS 39110
Exclusion date
October 20, 2010
Exclusion type
Revocation (1128b4)
NPI
1750479788

Record summary

Van Harbert Temple appears in the HHS-OIG List of Excluded Individuals/Entities (LEIE) public dataset as an individual record associated with Madison, 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 October 20, 2010, 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 dateOctober 20, 2010
Exclusion typeLicense revocation, suspension, or surrender (1128b4)
NPI1750479788
UPINB30666
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 Madison, MS 39110. The listed provider category is Medical Practice, MD. The listed specialty is General Practice.

Other excluded providers in Madison, MS

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

Jacob A Hale Individual Revocation
Madison, MS · License revocation, suspension, or surrender · Excluded Jun 2025
Reginald David Rigsby Individual Revocation
Madison, MS · License revocation, suspension, or surrender · Excluded Nov 2023
Vanessa Case Individual Program Crime
Madison, MS · Conviction of program-related crimes · Excluded Dec 2022
Brenda Faye Mason Individual Program Crime
Madison, MS · Conviction of program-related crimes · Excluded Nov 2022
Bradley Wayne Haas Individual Revocation
Madison, MS · License revocation, suspension, or surrender · Excluded Jun 2021
Pamela Lauren Lasley Individual Revocation
Madison, MS · License revocation, suspension, or surrender · Excluded Sep 2012
Kathy Mcqueen Individual Revocation
Madison, MS · License revocation, suspension, or surrender · Excluded May 2009
John Whyte IV Goddard Individual Revocation
Madison, MS · License revocation, suspension, or surrender · Excluded Jun 2008

See all 15 excluded providers in Madison →

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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