Star Medical Clinic PLLC
NPI 1033565007ActiveOrganization· General Practice· Jacksonville, NC
General Practice in Jacksonville, North Carolina, registered in NPPES in May 2016. The authorized official on file is Kevin R. Scyoc, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1033565007 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 10, 2016 |
| Last updated in NPPES | Jun 17, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
| Family Medicine | 207Q00000X | — | — |
| Internal Medicine | 207R00000X | — | — |
| Clinic/Center, Urgent Care | 261QU0200X | — | — |
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 Part B Supplier - Clinic/Group Practice (NC) |
|---|
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