CARESOUTH SOUTH (NPI# 1184159063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184159063 |
| Entity Type | Organization |
| Organization Name | CARESOUTH SOUTH |
| Other Organization Name | CARESOUTH |
| Practice Address |
340 Lee St Johnston SC 29832-1433 |
| Practice Telephone | 8036862025 |
| Practice Fax Number | 8032759481 |
| Mailing Telephone | 8036862025 |
| Mailing Fax Number | 8032759481 |
| Enumeration Date | 2017-04-27 |
| Last Update Date | 2017-04-27 |
| Authorized Official Name | MS. CHRISTIE CULBREATH-DICKERSON (CEO) |
| Authorized Official Telephone | 8036862025 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | SC | Managed Care Organizations |
| Other Name | Type Code |
|---|---|
| CareSouth | Former Legal Business Name - Organization |
| Street Address |
340 LEE ST |
| City | JOHNSTON |
| State | SC |
| Zip Code | 29832-1433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477789808 | Homecare South | Skilled Nursing Facility | 340 Lee St, Johnston, SC 29832-1433 | 2009-05-29 |
| 1417442468 | Autumn Simpkins | Non-emergency Medical Transport (VAN) | 340 Lee St, Johnston, SC 29832-1433 | 2018-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316974710 | Walton Ariail Smith | Chiropractor | 101 Slide Hill Road, Johnston Chirporactic Clinic, Johnston, SC 29832 | 2006-06-28 |
| 1336130939 | Barbara Louise Darracott | Counselor | 36 Calhoun St., Johnston, SC 29832 | 2005-11-02 |
| 1598008773 | Dixie Gibson | Local Education Agency (LEA) | 514 Lee St, Johnston, SC 29832-1131 | 2013-04-05 |
| 1578998829 | Healthstat On-site Clinic/milliken Johnston | Preventive Medicine | 79 Calhoun St, Johnston, SC 29832-1308 | 2013-09-05 |
| 1821109901 | Maxwell & Halford Drug, Inc. | Pharmacy | 432 Calhoun St, Johnston, SC 29832-1317 | 2006-08-31 |
| 1548463037 | Maxwell and Halford Drug Inc | Pharmacy | 432 Calhoun St, Johnston, SC 29832-1317 | 2007-06-11 |
| 1598195349 | Walton A Smith | Chiropractor | 101 Slide Hill Rd, Johnston, SC 29832-1359 | 2013-11-14 |
| 1538104468 | Jana Gruber | Nurse Practitioner | 801 Mobley St, Johnston, SC 29832-1366 | 2006-06-17 |
| 1316974587 | W. Hugh Morgan | Family Medicine | 801 Mobley St, Johnston, SC 29832-1366 | 2006-06-26 |
| 1033154745 | W. Hugh Morgan Family Practice | Clinic/Center | 801 Mobley St, Johnston, SC 29832-1366 | 2006-06-17 |
| Find all providers in zip 29832 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720690415 | Golabsintl | Point of Service | 238 Hawkins Creek Rd, Blythewood, SC 29016-7230 | 2020-08-23 |
| 1396362414 | Gentle Sticks Mobile Phlebotomy, LLC | Point of Service | 1707 Clemmon Sanders Cir, Rock Hill, SC 29732-7647 | 2020-07-06 |
| 1912444712 | A-peel Salon and Spa LLC | Point of Service | 9003 Two Notch Rd, Suite 5, Columbia, SC 29223-5800 | 2017-01-31 |
| 1619425261 | Blessedtouch Theraputic Massage & Nutrition | Point of Service | 605 S Dargan St, Florence, SC 29506-2544 | 2016-09-13 |
| 1245684521 | Pds Home Health Care and Management | Point of Service | 109 Childrens Lane, St. Stephens, SC 29479-0109 | 2016-04-22 |
| 1679937361 | Companion Management, LLC | Point of Service | 29 Gamecock Ave Ste 101, Charleston, SC 29407-3366 | 2016-04-08 |
| 1568825404 | Eric Henry Hays | Point of Service | 243 Pinecroft Dr, Taylors, SC 29687-2216 | 2016-03-29 |
| 1386030351 | Victory Dentistry for Kids | Point of Service | 9787 Charlotte Hwy Ste 203, Indian Land, SC 29707-5511 | 2015-04-07 |
| 1467843078 | We Care Family Resource LLC | Point of Service | 513 Bayshore Dr., Fairfax, SC 29827 | 2015-02-18 |
| 1063824217 | Abundant Care Case Management LLC | Point of Service | 153 Forestview Cir, Columbia, SC 29212-2450 | 2014-05-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.