Yaden Physical and Integrated Medical-Llc
NPI 1255958658ActiveOrganization· Family Medicine· Moncks Corner, SC
Family Medicine in Moncks Corner, South Carolina, registered in NPPES in July 2020. The authorized official on file is Jerald G. Yaden, DC, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1255958658 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 1, 2020 |
| Last updated in NPPES | Aug 27, 2024 |
| Certified by provider | Aug 27, 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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