Clemson University
NPI 1093990707ActiveOrganization· Nurse Practitioner, Family· Walhalla, SC
Nurse Practitioner, Family in Walhalla, South Carolina, registered in NPPES in January 2008. The authorized official on file is Ronald W. Gimbel, PHD, Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1093990707 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 2, 2008 |
| Last updated in NPPES | Dec 15, 2025 |
| Certified by provider | Dec 15, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
| Counselor, Mental Health | 101YM0800X | — | — |
| Family Medicine | 207Q00000X | — | — |
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 (SC) |
|---|
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