Calloway Primary Care & Wellness LLC
NPI 1164379830ActiveOrganization· Nurse Practitioner· Indian Land, SC
Nurse Practitioner in Indian Land, South Carolina, registered in NPPES in March 2026. The authorized official on file is Cassandra Calloway, NP, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1164379830 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 12, 2026 |
| Last updated in NPPES | Mar 19, 2026 |
| Certified by provider | Mar 19, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | — | — |
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 (SC) |
|---|
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