Southern Gastroenterology Associates PC
NPI 1376659870ActiveOrganization· Specialist· South Boston, VA
Specialist in South Boston, Virginia, registered in NPPES in August 2006. The authorized official on file is Nicole Palmer, Practice Manager. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1376659870 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 21, 2006 |
| Last updated in NPPES | Jan 7, 2022 |
| Certified by provider | Jan 7, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | — | VA |
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) | Enrolled Part B Supplier - Clinic/Group Practice (NC); Part B Supplier - Clinic/Group Practice (VA) |
|---|
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