Providence Physician Practices LLC
NPI 1558710376ActiveOrganization· Internal Medicine· Irmo, SC
Internal Medicine in Irmo, South Carolina, registered in NPPES in June 2016. The authorized official on file is Jess N. Judy, President.
Overview
| NPI | 1558710376 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 13, 2016 |
| Last updated in NPPES | Feb 23, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
| Family Medicine | 207Q00000X | — | — |
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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