Omnimed LLC
NPI 1588623433ActiveOrganization· Family Medicine· Rock Hill, SC
Family Medicine in Rock Hill, South Carolina, registered in NPPES in March 2006. The authorized official on file is Jennifer Randel, Office Manager.
Overview
| NPI | 1588623433 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 20, 2006 |
| Last updated in NPPES | Mar 8, 2021 |
| Certified by provider | Mar 8, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Emergency Medicine | 207P00000X | — | — |
| Internal Medicine | 207R00000X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
| Nurse Practitioner | 363L00000X | — | — |
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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