EXCLUDEDPROVIDER
Individual Revocation

Melissa Mason Douglas

Fuquay-varina, NC 27526

Public HHS-OIG LEIE exclusion record

According to the HHS-OIG List of Excluded Individuals/Entities (LEIE), Melissa Mason Douglas of Fuquay-varina, NC is currently excluded from participation in federally funded health care programs due to license revocation, suspension, or surrender, as of October 20, 2015.

Status
Currently listed by HHS-OIG
Record type
Individual
Location
Fuquay-varina, NC 27526
Exclusion date
October 20, 2015
Exclusion type
Revocation (1128b4)
Source dataset
May 2026

Record summary

Melissa Mason Douglas appears in the HHS-OIG List of Excluded Individuals/Entities (LEIE) public dataset as an individual record associated with Fuquay-varina, North Carolina. 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, 2015, 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, 2015
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 Fuquay-varina, NC 27526. The listed provider category is Individual - Licensed Health Care Service Provider. The listed specialty is Nurse / Nurses Aide.

Other excluded providers in Fuquay-varina, NC

Other individuals and entities currently listed in the HHS-OIG LEIE public dataset with a Fuquay-varina, NC address.

Jessica Diane Royals Giles Individual Revocation
Fuquay-varina, NC · License revocation, suspension, or surrender · Excluded Nov 2016
Torrey Darnell Moton Individual Program Crime
Fuquay Varina, NC · Conviction of program-related crimes · Excluded Jul 2016
Alexander Bass Individual Program Crime
Fuquay Varina, NC · Conviction of program-related crimes · Excluded Jul 2016
Kathy Norton Black Individual Revocation
Fuquay Varina, NC · License revocation, suspension, or surrender · Excluded Mar 2016
James Daniel Jr Sweat Individual Program Crime
Fuquay Varina, NC · Conviction of program-related crimes · Excluded Oct 2002

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 North Carolina More Records in Fuquay-Varina More Revocation Records