Active NPI
Nextgen Medical LLC
- Adult Health Nurse Practitioner
- Lake Wylie, SC
National Provider Identifier
1356078661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- Legal business name
- NEXTGEN MEDICAL LLC
- Practice address
- 4341 Charlotte Hwy Ste 202
Lake Wylie, SC 29710-7062 - Phone
- (803) 992-5864
- Fax
- (864) 448-1467
- NPI assigned
- Aug 5, 2022
- Last updated
- Apr 15, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Claudia Moulden, NP
- Title
- Owner/NP
- Phone
- (803) 992-5864
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | Primary |
Addresses
Primary practice location
4341 Charlotte Hwy Ste 202
Lake Wylie, SC 29710-7062
Mailing address
3423 Shady Cove CT
Belmont, NC 28012-9581
Phone (716) 868-9329
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4341 Charlotte Hwy
Ste 202
Lake Wylie, SC 29710
Phone (716) 868-9329
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659657600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776211200000",
"number": "1356078661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3423 SHADY COVE CT",
"city": "BELMONT",
"state": "NC",
"postal_code": "280129581",
"telephone_number": "716-868-9329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4341 CHARLOTTE HWY STE 202",
"city": "LAKE WYLIE",
"state": "SC",
"postal_code": "297107062",
"telephone_number": "803-992-5864",
"fax_number": "864-448-1467"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEXTGEN MEDICAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-05",
"last_updated": "2026-04-15",
"certification_date": "2026-04-15",
"status": "A",
"authorized_official_last_name": "MOULDEN",
"authorized_official_first_name": "CLAUDIA",
"authorized_official_title_or_position": "OWNER/NP",
"authorized_official_telephone_number": "803-992-5864",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Wylie, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.