SC Anesthesiology LLC
NPI 1205109428ActiveOrganization· Nurse Anesthetist, Certified Registered· Columbia, SC
Nurse Anesthetist, Certified Registered in Columbia, South Carolina, registered in NPPES in February 2012. The authorized official on file is Jeff L. Perry, Vp Of Revenue Cycle. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1205109428 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 18, 2012 |
| Last updated in NPPES | Jul 23, 2025 |
| Certified by provider | Jul 23, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | — | — |
| Anesthesiology | 207L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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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