Organization Active NPI

Nextgen Medical LLC

  • Adult Health Nurse Practitioner
  • Lake Wylie, SC
National Provider Identifier
1356078661
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Claudia Moulden, NPNPI 1427399252
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)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
O20221216000592 SC Part B Supplier - Clinic/Group Practice 7810366721 Receives reassigned benefits from 1 practitioner
Practice locations: Lake Wylie, SC

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.