Vitality Medical Solutions LLC
NPI 1124793096ActiveOrganization· Nurse Practitioner· Anderson, SC
Nurse Practitioner in Anderson, South Carolina, registered in NPPES in August 2021. The authorized official on file is Bradley Williams, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1124793096 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 12, 2021 |
| Last updated in NPPES | Feb 19, 2025 |
| Certified by provider | Feb 19, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | — | — |
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) | Enrolled Part B Supplier - Clinic/Group Practice (SC) |
|---|
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