Antonia Mack, RN
NPI 1124694088ActiveIndividual· Nursing Care· Hollywood, SC
Nursing Care (RN) in Hollywood, South Carolina, licensed in SC, with an NPI issued in June 2021.
Overview
| NPI | 1124694088 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RN |
| Sole proprietor | Yes |
| NPI issued | Jun 1, 2021 |
| Last updated in NPPES | Aug 18, 2026 |
| Certified by provider | Aug 18, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nursing Care Primary | 251J00000X | 270246 | SC |
| Registered Nurse | 163W00000X | 270246 | SC |
| In Home Supportive Care | 253Z00000X | 270246 | 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 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|