Tayvionna Etheredge
NPI 1316633753ActiveIndividual· Physical Medicine & Rehabilitation· West Columbia, SC
Physical Medicine & Rehabilitation in West Columbia, South Carolina, licensed in SC, with an NPI issued in April 2023.
Overview
| NPI | 1316633753 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Apr 17, 2023 |
| Last updated in NPPES | Apr 17, 2023 |
| Certified by provider | Apr 13, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Medicine & Rehabilitation Primary | 208100000X | PTA.5096 | SC |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other physiatrists in West Columbia
- 1477703940
- 1063426724
- 1376597070
- 1508961020
- 1003007055
- 1275077802
- 1407667058
- 1457448144
- 1952502635
- 1982999249
- 1437930237