Mirakle Avery
NPI 1013772391ActiveIndividual· Physician Assistant· Columbia, SC
Physician Assistant in Columbia, South Carolina, trained at Medical University of South Carolina College of Medicine (class of 2025). Enrolled in Medicare as practitioner - physician assistant. Salix Pharmaceuticals, A Division of Bausch Health US, LLC reported $42.78 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1013772391 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Feb 16, 2024 |
| Last updated in NPPES | Jan 15, 2026 |
| Certified by provider | Jan 15, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 6095 | SC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (SC) |
|---|
Education and affiliations
| Medical school | Medical University of South Carolina College of Medicine |
|---|---|
| Graduation year | 2025 |
| Medicare specialty | Physician Assistant |
Industry payments (Open Payments)
- 2025$42.78 · 2 payments from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Salix Pharmaceuticals, A Division of Bausch Health US, LLC | $42.78 | 2 |
What the 2025 payments were for
- Food and Beverage$42.78 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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