CARESOUTH CAROLINA, INC (NPI# 1255762936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255762936 |
| Entity Type | Organization |
| Organization Name | CARESOUTH CAROLINA, INC |
| Practice Address |
207 E Monroe St Dillon SC 29536-2557 |
| Mailing Address |
Po Box 1090 Hartsville SC 29551-1090 |
| Practice Telephone | 8437744337 |
| Mailing Telephone | 8438570111 |
| Enumeration Date | 2013-12-06 |
| Last Update Date | 2014-11-24 |
| Authorized Official Name | ANN M LEWIS (CEO) |
| Authorized Official Telephone | 8438570111 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP6339 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831620095 | Caresouth Carolina, Inc | Dentist | 741 S Main Street, Society Hill, SC 29593 | 2017-03-21 |
| 1457398521 | Caresouth Carolina, Inc | Clinic/Center | 999 Cheraw St, Bennettsville, SC 29512-2420 | 2006-05-31 |
| 1285677443 | Caresouth Carolina, Inc | Clinic/Center | 715 S Doctors Dr, Suites A, B & D/e, Cheraw, SC 29520-7113 | 2006-06-14 |
| 1194763714 | Caresouth Carolina, Inc | Clinic/Center | 737 S Main St, Society Hill, SC 29593-8972 | 2006-06-04 |
| 1942247846 | Caresouth Carolina, Inc | Clinic/Center | 545 Sumter Hwy, Bishopville, SC 29010-7601 | 2006-05-31 |
| 1629015755 | Caresouth Carolina, Inc | Clinic/Center | 500 West Blvd, Chesterfield, SC 29709-1402 | 2006-05-31 |
| Street Address |
207 E MONROE ST |
| City | DILLON |
| State | SC |
| Zip Code | 29536-2557 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568434249 | Mcleod Physician Associates II | Clinic/Center | 207 E Monroe St, Dillon, SC 29536-2557 | 2006-02-06 |
| 1730562810 | Samantha C Willard | Nurse Practitioner | 207 E Monroe St, Dillon, SC 29536-2557 | 2015-07-07 |
| 1427435940 | Kendra Mcqueen Fling | Nurse Practitioner | 207 E Monroe St, Dillon, SC 29536-2557 | 2015-05-05 |
| 1023407368 | Tara Coburn | Social Worker | 207 E Monroe St, Dillon, SC 29536-2557 | 2015-01-09 |
| 1912236225 | Mcleod Physician Associates II | Nurse Practitioner | 207 E Monroe St, Dillon, SC 29536-2557 | 2009-12-15 |
| 1417020751 | Ellen Margaret Mishra | Nurse Practitioner | 207 E Monroe St, Dillon, SC 29536-2557 | 2006-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648858 | Melanie Daniels Smith | Registered Nurse | 1803 Joan Drive, Dillon, SC 29536 | 2020-10-26 |
| 1740888197 | Ashlyn Syvanna Arnette | Registered Nurse | 1001 West Calhoun Street, Dillon, SC 29536 | 2020-10-16 |
| 1245846179 | Chasity Nichole Chavis | Registered Nurse | 2159 Hwy 9 West, Dillon, SC 29536 | 2020-09-16 |
| 1376047811 | Medysis Healthcare | Home Health | 1000 N. Us 301, Dillon, SC 29536 | 2018-03-20 |
| 1548768278 | Medysis Healthcare | Home Health | 1000 N. Us-301, Dillon, SC 29536 | 2018-01-29 |
| 1639547565 | Tynia S Thomas | Counselor | 1324 Commerce, Dillon, SC 29536 | 2015-09-09 |
| 1528457967 | David Brown | Pharmacist | 804 Enterprise Rd, Dillon, SC 29536 | 2015-01-22 |
| 1891103701 | Fairlynn Grooms | Pharmacist | 611 U.S. 301 Highway, Dillon, SC 29536 | 2014-07-24 |
| 1790035483 | Lindsay Elizabeth Hyduke | Pharmacist | 1211 Hwy 301 North, Dillon, SC 29536 | 2012-09-11 |
| 1386932838 | Nardin Nabil Khalil | Family Medicine | 603 North 6th Avenue, Dillon, SC 29536 | 2011-07-19 |
| Find all providers in zip 29536 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972162006 | Summit Community Care Clinic, Inc. | Clinic/Center | 727 Cove Blvd, Dillon, CO 80435-8802 | 2019-06-12 |
| 1891079224 | Montana Migrant and Seasonal Farmworker Council, Inc. | Clinic/Center | 116 N Washington St, Dillon, MT 59725 | 2011-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627153 | Hopehealth Inc | Clinic/Center | 2155 Paxville Hwy, Manning, SC 29102-5074 | 2020-10-21 |
| 1083228779 | Sandhills Medical Foundation Inc | Clinic/Center | 103 Main Street South, Bethune, SC 29009 | 2020-09-01 |
| 1235753914 | Eau Claire Cooperative Health Center Inc. | Clinic/Center | 4605 Monticello Rd Bldg C, Columbia, SC 29203-4156 | 2020-05-29 |
| 1982248852 | Regenesis Organization Community Health Center | Clinic/Center | 115 Thomas St Ste B, Union, SC 29379-2147 | 2019-11-04 |
| 1720636012 | Genesis Health Care, Inc | Clinic/Center | 115 Exchange St, Darlington, SC 29532-3203 | 2019-08-29 |
| 1063079549 | Health Care Partners of South Carolina, Inc. | Clinic/Center | 243 Singleton Ridge Rd, Units E&f, Conway, SC 29526-8391 | 2019-05-21 |
| 1043775703 | Rural Health Services Inc | Clinic/Center | 4200 Whiskey Rd, Aiken, SC 29803-8534 | 2019-02-07 |
| 1295202356 | Eau Claire Cooperative Health Center Inc. | Clinic/Center | 2600 Wheat St, Columbia, SC 29205-2315 | 2018-10-26 |
| 1215410667 | Low Country Health Care System | Clinic/Center | 19340 Solomon Blatt Ave N, Blackville, SC 29817-2304 | 2018-09-12 |
| 1922584481 | Sandhills Medical Foundation, Inc. | Clinic/Center | 290 Market Street, Ruby, SC 29741 | 2018-07-17 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CARESOUTH CAROLINA, INC.
| 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.