Provident Health Services, Inc.
NPI 1366519530ActiveOrganization· Surgery· Bluffton, SC
Surgery in Bluffton, South Carolina, registered in NPPES in November 2006. The authorized official on file is Robin J. Maddox, Provider Enrollment Coordinator.
Overview
| NPI | 1366519530 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 30, 2006 |
| Last updated in NPPES | Sep 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | — | — |
| Surgery, Surgical Oncology | 2086X0206X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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