Promise Medical Group, PLLC
NPI 1043560832ActiveOrganization· Internal Medicine· Wildwood, FL
Internal Medicine in Wildwood, Florida, registered in NPPES in September 2012. The authorized official on file is David Wayne Stephenson, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1043560832 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 19, 2012 |
| Last updated in NPPES | Jul 29, 2024 |
| Certified by provider | Jul 29, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | ME106525 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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