Mema SC LLC
NPI 1407675176ActiveOrganization· Emergency Medicine· Charlotte, NC
Emergency Medicine in Charlotte, North Carolina, registered in NPPES in October 2024. The authorized official on file is Michael Wayne Icenhour, CMPE, Chief Operating Officer.
Overview
| NPI | 1407675176 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 9, 2024 |
| Last updated in NPPES | Oct 9, 2024 |
| Certified by provider | Oct 8, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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