Carolina Vein Care and Aesthetics, LLC
NPI 1134615396ActiveOrganization· Surgery, Vascular Surgery· Greenville, SC
Surgery, Vascular Surgery in Greenville, South Carolina, registered in NPPES in July 2018, part of Carolina Vein Care and Aesthetics, LLC. The authorized official on file is Mark R. Jackson, MD, Officer. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1134615396 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Carolina Vein Care and Aesthetics, LLC |
| NPI issued | Jul 10, 2018 |
| Last updated in NPPES | Oct 30, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Vascular Surgery Primary | 2086S0129X | — | — |
| Radiologic Technologist, Vascular-Interventional Technology | 2471V0106X | — | — |
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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