Ebbtide Comprehensive Care
NPI 1609561935ActiveOrganization· Internal Medicine· Charleston, SC
Internal Medicine in Charleston, South Carolina, registered in NPPES in April 2023. The authorized official on file is Corynne Ann Boyer, DO, Owner/Physician. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1609561935 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 11, 2023 |
| Last updated in NPPES | Jan 5, 2026 |
| Certified by provider | Jan 5, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
| Internal Medicine, Cardiovascular Disease | 207RC0000X | — | — |
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) | Enrolled Part B Supplier - Clinic/Group Practice (SC) |
|---|
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