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North Carolina Medicaid exclusion list

North Carolina Medicaid State Excluded Provider List · in the RosterProof dataset · as of 2026-10-29

North Carolina publishes its Medicaid exclusion list as an Excel workbook; the agency updates it monthly. RosterProof loads it every week into the same schema as the federal OIG LEIE, SAM.gov and 41 other state lists, resolves names to NPIs where the national registry confirms them, and keeps every change. The official list is the record of truth: North Carolina Medicaid State Excluded Provider List.

166
active exclusion records
109
individuals
61
organizations
136
NPPES-verified NPIs
76.5%
of active records not on the federal LEIE
38
also excluded in another jurisdiction

Counts are from the published RosterProof dataset, refreshed weekly; the page re-reads them on load. Format: Excel · cadence: monthly · last change RosterProof observed: 2026-09-28.

What the federal gap means in North Carolina

Of the 166 active records on the North Carolina list, 76.5% do not appear on the federal OIG LEIE. A program that screens only the federal lists, as 42 CFR 455.436 requires at minimum, never sees those providers. Under ACA §6501, an exclusion or for-cause termination in one state's Medicaid program is grounds for termination in every other state, so a North Carolina exclusion matters to any payer or employer in any state. The earliest exclusion start date the agency publishes is 2014-04-09 and the most recent is 2026-06-18. 38 of the records belong to providers that at least one other jurisdiction has also excluded. How the gap is measured, for every state: The federal gap, measured.

How to check a provider against the North Carolina list

  1. In the browser, no account: paste or upload NPIs on Screen my providers. Each NPI is checked against the North Carolina list and every other list at once; results download as CSV.
  2. By API: POST /v1/screen with NPIs, names or organizations; a free key allows 500 lookups a month. API documentation.
  3. In your warehouse: the free Snowflake listing or the weekly CSV / Parquet download; filter JURISDICTION = 'NC' in EXCLUSIONS_SCREENABLE.
  4. Then confirm with the agency. A hit identifies a published record and, where present, an NPI match with a stated confidence. Before any adverse action, verify against the official North Carolina list (and OIG's SSN-based search for LEIE matches).

Screen my providers → Official NC list ↗

About this source

Official listNorth Carolina Medicaid State Excluded Provider List
Published asan Excel workbook
Update cadenceThe agency updates it monthly
Records in RosterProof170 total, 166 active, 0 with a start date in the last 90 days
Identity resolution136 distinct NPIs confirmed in the CMS NPPES registry; the rest are name-only records, matched by exact name and state. Match tiers: data dictionary.
Source identifierSOURCE_ID = 'NC', JURISDICTION = 'NC'
AttributionNorth Carolina DHHS permits non-commercial copying of its list, unaltered and cited. Full notices for every source: Attribution & notices.

Other state lists

Every list RosterProof loads, each with its official source and how to screen against it (all states + DC):

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Verify before adverse action. RosterProof is a screening data layer, not a fraud detector. A hit identifies a published exclusion record and, where present, an NPI match with a stated confidence. Confirm against the source agency before taking any action. Free for compliance screening under the Terms of Use.