Excalibur Youth Services, LLC.
NPI 1487174462ActiveOrganization· Family Medicine· Simpsonville, SC
Family Medicine in Simpsonville, South Carolina, registered in NPPES in June 2017. The authorized official on file is John M. Short, Ceo.
Overview
| NPI | 1487174462 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 21, 2017 |
| Last updated in NPPES | Jun 21, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | SC |
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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