Novant Health Medical Group, LLC
NPI 1245335421ActiveOrganization· Family Medicine· Indian Land, SC
Family Medicine in Indian Land, South Carolina, registered in NPPES in September 2006. The authorized official on file is Shala Davis, Rcs Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1245335421 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 13, 2006 |
| Last updated in NPPES | Apr 29, 2026 |
| Certified by provider | Apr 29, 2026 |
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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