EXCLUDEDPROVIDER
Individual Revocation

Tiffany Smith Ellis

Henderson, NC 27537

Public HHS-OIG LEIE exclusion record

According to the HHS-OIG List of Excluded Individuals/Entities (LEIE), Tiffany Smith Ellis of Henderson, NC is currently excluded from participation in federally funded health care programs due to license revocation, suspension, or surrender, as of October 18, 2012.

Status
Currently listed by HHS-OIG
Record type
Individual
Location
Henderson, NC 27537
Exclusion date
October 18, 2012
Exclusion type
Revocation (1128b4)
Source dataset
May 2026

Record summary

Tiffany Smith Ellis appears in the HHS-OIG List of Excluded Individuals/Entities (LEIE) public dataset as an individual record associated with Henderson, 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 18, 2012, 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 18, 2012
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 Henderson, NC 27537. The listed provider category is Individual - Licensed Health Care Service Provider. The listed specialty is Nurse / Nurses Aide.

Other excluded providers in Henderson, NC

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

Barbara Ann Harris Individual Program Crime
Henderson, NC · Conviction of program-related crimes · Excluded Mar 2025
Bobby Faison Individual Program Crime
Henderson, NC · Conviction of program-related crimes · Excluded Nov 2013
Denise Daniel Mcdade Individual Revocation
Henderson, NC · License revocation, suspension, or surrender · Excluded Jun 2012
Tonya Gresham Pendergrass Individual Revocation
Henderson, NC · License revocation, suspension, or surrender · Excluded Dec 2008
Slayter T Jr Lloyd Individual Revocation
Henderson, NC · License revocation, suspension, or surrender · Excluded Aug 2000

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 Henderson More Revocation Records