EXCLUDEDPROVIDER
Individual Revocation

Tina M Bolin

Crossville, TN 38557

Public HHS-OIG LEIE exclusion record

According to the HHS-OIG List of Excluded Individuals/Entities (LEIE), Tina M Bolin of Crossville, TN is currently excluded from participation in federally funded health care programs due to license revocation, suspension, or surrender, as of August 20, 2008.

Status
Currently listed by HHS-OIG
Record type
Individual
Location
Crossville, TN 38557
Exclusion date
August 20, 2008
Exclusion type
Revocation (1128b4)
Source dataset
May 2026

Record summary

Tina M Bolin appears in the HHS-OIG List of Excluded Individuals/Entities (LEIE) public dataset as an individual record associated with Crossville, Tennessee. 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, 2008, 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, 2008
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 Crossville, TN 38557. The listed provider category is Dental Practice. The listed specialty is Administrator.

Other excluded providers in Crossville, TN

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

Cathy Callis Individual Revocation
Crossville, TN · License revocation, suspension, or surrender · Excluded Jun 2016
Kathy Gail Badger Individual Revocation
Crossville, TN · License revocation, suspension, or surrender · Excluded Jul 2014
Brittany S Davis Individual Revocation
Crossville, TN · License revocation, suspension, or surrender · Excluded May 2014
Maria D Welch Individual Revocation
Crossville, TN · License revocation, suspension, or surrender · Excluded May 2008
Nina K Owens Individual Revocation
Crossville, TN · License revocation, suspension, or surrender · Excluded Jun 2006
Susan Henry Individual Revocation
Crossville, TN · License revocation, suspension, or surrender · Excluded Mar 2006
Dale Allen Ford Individual Patient Abuse
Crossville, TN · Conviction relating to patient abuse or neglect · Excluded May 2000
H Gene Blankenship Individual Program Crime
Crossville, TN · Conviction of program-related crimes · Excluded Oct 1988

See all 10 excluded providers in Crossville →

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 this record with the official HHS-OIG source Save or print this record Monitor this provider/entity Need to screen a list? Join the bulk screening beta

Remove or correct this record →

Related

More Excluded Individuals in Tennessee More Records in Crossville More Revocation Records