EXCLUDEDPROVIDER
Individual Revocation

Garry Lewis Roark

Hickory, NC 28601

Public HHS-OIG LEIE exclusion record

Garry Lewis Roark of Hickory, NC is listed under National Provider Identifier (NPI) 1326099581. According to the HHS-OIG List of Excluded Individuals/Entities (LEIE), Garry Lewis Roark is currently excluded from participation in federally funded health care programs due to license revocation, suspension, or surrender, as of August 20, 2012.

Status
Currently listed by HHS-OIG
Record type
Individual
Location
Hickory, NC 28601
Exclusion date
August 20, 2012
Exclusion type
Revocation (1128b4)
NPI
1326099581

Record summary

Garry Lewis Roark appears in the HHS-OIG List of Excluded Individuals/Entities (LEIE) public dataset as an individual record associated with Hickory, 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 August 20, 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 dateAugust 20, 2012
Exclusion typeLicense revocation, suspension, or surrender (1128b4)
NPI1326099581
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 Hickory, NC 28601. The listed provider category is Individual - Licensed Health Care Service Provider. The listed specialty is Nurse / Nurses Aide.

Other excluded providers in Hickory, NC

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

Jessica Lane Queen Individual Revocation
Hickory, NC · License revocation, suspension, or surrender · Excluded Jul 2025
Shannon Lindsey Johnson Individual Revocation
Hickory, NC · License revocation, suspension, or surrender · Excluded Nov 2023
Teresa Clay Brakemeyer Individual Revocation
Hickory, NC · License revocation, suspension, or surrender · Excluded Jul 2023
Wendy Gail Wilcox Individual Revocation
Hickory, NC · License revocation, suspension, or surrender · Excluded Oct 2021
Ashley D Pennell Individual Revocation
Hickory, NC · License revocation, suspension, or surrender · Excluded Oct 2016
Drema Faye Kincaid Individual Patient Abuse
Hickory, NC · Conviction relating to patient abuse or neglect · Excluded Jun 2016
Kristy Moore Davis Individual Revocation
Hickory, NC · License revocation, suspension, or surrender · Excluded Mar 2013
Marlene Carlton Individual Revocation
Hickory, NC · License revocation, suspension, or surrender · Excluded Mar 2013

See all 18 excluded providers in Hickory →

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

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