EXCLUDEDPROVIDER
Individual Program Crime

Kossie Lamon Simmons

Cordova, TN 38016

Public HHS-OIG LEIE exclusion record

According to the HHS-OIG List of Excluded Individuals/Entities (LEIE), Kossie Lamon Simmons of Cordova, TN is currently excluded from participation in federally funded health care programs due to conviction of program-related crimes, as of January 18, 2007.

Status
Currently listed by HHS-OIG
Record type
Individual
Location
Cordova, TN 38016
Exclusion date
January 18, 2007
Exclusion type
Program Crime (1128a1)
Source dataset
May 2026

Record summary

Kossie Lamon Simmons appears in the HHS-OIG List of Excluded Individuals/Entities (LEIE) public dataset as an individual record associated with Cordova, 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 January 18, 2007, and the exclusion type is 1128a1, identified by HHS-OIG as conviction of program-related crimes.

Source record

SourceHHS-OIG LEIE (public dataset)
Record typeIndividual
Current statusCurrently listed by HHS-OIG
Exclusion dateJanuary 18, 2007
Exclusion typeConviction of program-related crimes (1128a1)
Source dataset dateMay 2026

What this exclusion type means

HHS-OIG identifies exclusion type 1128a1 as “Conviction of program-related crimes.” Conviction of a criminal offense related to the delivery of an item or service under Medicare or a State health care program (mandatory exclusion, minimum 5 years).

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 Cordova, TN 38016. The listed provider category is DME Company. The listed specialty is Owner / Operator.

Other excluded providers in Cordova, TN

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

Aaron Areli Hernandez-ramirez Individual Revocation
Cordova, TN · License revocation, suspension, or surrender · Excluded Nov 2025
Dominique Cooper Individual Patient Abuse
Cordova, TN · Conviction relating to patient abuse or neglect · Excluded Jun 2019
Jogendra Singh Chhabra Individual Revocation
Cordova, TN · License revocation, suspension, or surrender · Excluded Nov 2015
Kera E White Individual Revocation
Cordova, TN · License revocation, suspension, or surrender · Excluded Aug 2015
Demequa Bonds Individual Patient Abuse
Cordova, TN · Conviction relating to patient abuse or neglect · Excluded Jul 2015
Jennifer L Kaltreider Individual Revocation
Cordova, TN · License revocation, suspension, or surrender · Excluded Dec 2013
Melanie A Ward Individual Revocation
Cordova, TN · License revocation, suspension, or surrender · Excluded Mar 2009
Sandra Fong Lane Individual Revocation
Cordova, TN · License revocation, suspension, or surrender · Excluded Mar 2009

See all 15 excluded providers in Cordova →

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

More excluded individuals in Tennessee More records in Cordova More conviction of program-related crimes records