Nu South Providers
NPI 1144038274ActiveOrganization· Family Medicine· Moncks Corner, SC
Family Medicine in Moncks Corner, South Carolina, registered in NPPES in December 2024. The authorized official on file is Kimberly Davis, Credentialing Specialists. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1144038274 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 20, 2024 |
| Last updated in NPPES | Dec 24, 2024 |
| Certified by provider | Dec 24, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
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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