EXCLUDEDPROVIDER
Individual Program Crime

Clemis Laraine Jackson

Beaumont, TX 77705

Public HHS-OIG LEIE exclusion record

According to the HHS-OIG List of Excluded Individuals/Entities (LEIE), Clemis Laraine Jackson of Beaumont, TX is currently excluded from participation in federally funded health care programs due to conviction of program-related crimes, as of September 20, 2005.

Status
Currently listed by HHS-OIG
Record type
Individual
Location
Beaumont, TX 77705
Exclusion date
September 20, 2005
Exclusion type
Program Crime (1128a1)
Source dataset
May 2026

Record summary

Clemis Laraine Jackson appears in the HHS-OIG List of Excluded Individuals/Entities (LEIE) public dataset as an individual record associated with Beaumont, Texas. 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 September 20, 2005, 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 dateSeptember 20, 2005
Exclusion typeConviction of program-related crimes (1128a1)
UPINE04084
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 Beaumont, TX 77705. The listed provider category is Medical Practice, MD. The listed specialty is General Practice.

Other excluded providers in Beaumont, TX

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

Paul Njoku Individual Program Crime
Beaumont, TX · Conviction of program-related crimes · Excluded Mar 2026
Stephen Kash Individual Program Crime
Beaumont, TX · Conviction of program-related crimes · Excluded Jan 2026
Hector Ubaldo Individual Program Crime
Beaumont, TX · Conviction of program-related crimes · Excluded Dec 2025
Jorge C Zamora-quezada Individual Program Crime
Beaumont, TX · Conviction of program-related crimes · Excluded Oct 2025
Shafi Abbas Individual Program Crime
Beaumont, TX · Conviction of program-related crimes · Excluded Oct 2025
Ray Anthony Shoulders Individual Program Crime
Beaumont, TX · Conviction of program-related crimes · Excluded Jul 2025
Jesus Guillermo Rodriguez Individual Controlled Substance
Beaumont, TX · Felony conviction relating to controlled substance · Excluded May 2025
Serge Jean Individual Felony Fraud
Beaumont, TX · Felony conviction relating to health care fraud · Excluded May 2025

See all 168 excluded providers in Beaumont →

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

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