Athena Consulting LLC
NPI 1679316889ActiveOrganization· Internal Medicine· North Charleston, SC
Internal Medicine in North Charleston, South Carolina, registered in NPPES in June 2024. The authorized official on file is Tyler Stout, Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1679316889 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 15, 2024 |
| Last updated in NPPES | Nov 3, 2025 |
| Certified by provider | Nov 3, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
| Registered Nurse, Wound Care | 163WW0000X | — | — |
| Physician Assistant | 363A00000X | — | — |
| 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) | Enrolled Part B Supplier - Clinic/Group Practice (SC) |
|---|
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