Centerwell Senior Primary Care (SC) PC
NPI 1710341144ActiveOrganization· Internal Medicine· Anderson, SC
Internal Medicine in Anderson, South Carolina, registered in NPPES in April 2016, part of Centerwell Senior Primary Care (SC) PC. The authorized official on file is Angie Martinez, Senior Credentialing Professional. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1710341144 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Centerwell Senior Primary Care (SC) PC |
| NPI issued | Apr 12, 2016 |
| Last updated in NPPES | Aug 19, 2024 |
| Certified by provider | Aug 19, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
| Family Medicine | 207Q00000X | — | — |
| General Practice | 208D00000X | — | — |
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) |
|---|
Other Internal Medicine providers in Anderson
- 1205496676
- 1255740882
- 1285154914
- 1609163302
- 1649506965
- 1881646933
- 1881110294
- 1568078178
- 1154518009
- 1699724849
- 1962241901
- 1932159639