Advantage Healthcare of Charleston LLC
NPI 1790086726ActiveOrganization· General Practice· Goose Creek, SC
General Practice in Goose Creek, South Carolina, registered in NPPES in November 2010. The authorized official on file is Chris James Gray, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1790086726 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 8, 2010 |
| Last updated in NPPES | Jan 24, 2020 |
| Certified by provider | Jan 24, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | 28866 | SC |
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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