Shri Dhanvantri PA
NPI 1124882345ActiveOrganization· Nurse Practitioner, Family· Duncan, SC
Nurse Practitioner, Family in Duncan, South Carolina, registered in NPPES in February 2024. The authorized official on file is Louis Logan, Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1124882345 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 8, 2024 |
| Last updated in NPPES | May 21, 2024 |
| Certified by provider | May 21, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
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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