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Meridian Wellness & Med-Spa of SC LLC

NPI 1831895895ActiveOrganization· Nurse Practitioner, Family· Spartanburg, SC

Nurse Practitioner, Family in Spartanburg, South Carolina, registered in NPPES in February 2023. The authorized official on file is Gary Koenig, Ceo.

Overview

NPI1831895895
StatusActive
Entity typeOrganization
NPI issuedFeb 1, 2023
Last updated in NPPESFeb 1, 2023
Certified by providerFeb 1, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner, Family Primary363LF0000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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