South Charlotte General and Vascular Surgery PLLC
NPI 1144524190ActiveOrganization· Surgery· Charlotte, NC
Surgery in Charlotte, North Carolina, registered in NPPES in January 2011. The authorized official on file is James Nelson Antezana, M.D., General And Vascular Surgeon. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1144524190 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 5, 2011 |
| Last updated in NPPES | May 30, 2023 |
| Certified by provider | May 30, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | 2009-00158 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NC); Part B Supplier - Clinic/Group Practice (SC) |
|---|
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