CAROLINA HEALTH CENTERS, INC. (NPI# 1639202922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639202922 |
| Entity Type | Organization |
| Organization Name | CAROLINA HEALTH CENTERS, INC. |
| Other Organization Name | THE PENDERGRASS FAMILY HEALTH CENTER |
| Practice Address |
85 S Greenwood Ave Ware Shoals SC 29692-1534 |
| Mailing Address |
93 S Greenwood Ave Po Box 389 Ware Shoals SC 29692-1534 |
| Practice Telephone | 8644567436 |
| Practice Fax Number | 8644562942 |
| Mailing Telephone | 8644567436 |
| Mailing Fax Number | 8644562942 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2018-10-24 |
| Authorized Official Name | LISA Y GILMER (REVENUE CYCLE MANAGER) |
| Authorized Official Telephone | 8649418121 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | FQC019 | 05 |
| Other Name | Type Code |
|---|---|
| The Pendergrass Family Health Center | Doing Business As Name - Organization |
| Ware Shoals Family Practice | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518338698 | Carolina Health Centers, Inc. | Clinic/Center | 420 Epting Ave # B, Greenwood, SC 29646-4040 | 2015-10-14 |
| 1720495732 | Carolina Health Centers, Inc. | Clinic/Center | 6977 Sc Highway 28 S, Mc Cormick, SC 29835-7649 | 2014-07-22 |
| 1538428198 | Carolina Health Centers, Inc. | Clinic/Center | 924 Bypass 25 Ne, Greenwood, SC 29649-2900 | 2012-05-16 |
| 1518238690 | Carolina Health Centers, Inc. | Clinic/Center | 700 Plaza Cir Ste B, Clinton, SC 29325-7556 | 2012-01-20 |
| 1912131871 | Carolina Health Centers, Inc. | Pharmacy | 577 Bypass Hwy 72 Nw, Greenwood, SC 29649 | 2009-05-07 |
| 1871626259 | Carolina Health Centers, Inc. | Family Medicine | 535 Jackson St, Calhoun Falls, SC 29628-1222 | 2007-03-14 |
| 1306979521 | Carolina Health Centers, Inc. | Clinic/Center | 313 Main St Ste B, Greenwood, SC 29646-2757 | 2007-03-14 |
| 1770616013 | Carolina Health Centers, Inc. | Clinic/Center | 17124 Highway 72 W, Waterloo, SC 29384-5144 | 2007-03-14 |
| 1063545119 | Carolina Health Centers, Inc. | Clinic/Center | 219a North Mine Street, Mccormick, SC 29835 | 2007-03-14 |
| 1538127352 | Carolina Health Centers, Inc. | Family Medicine | 201 Aiken Rd., Ridge Spring, SC 29129 | 2006-05-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CAROLINA HEALTH CENTERS, INC. | 313 Main St, Greenwood, SC 29646-2757 |
| Street Address |
85 S GREENWOOD AVE |
| City | WARE SHOALS |
| State | SC |
| Zip Code | 29692-1534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780649582 | S D Pendergrass IIi | Family Medicine | 85 S Greenwood Ave, Ware Shoals, SC 29692-1534 | 2006-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235743295 | Kp and Rd LLC | Pharmacy | 721 N Greenwood Avenue, Ware Shoals, SC 29692 | 2020-09-06 |
| 1639541972 | Ally Child and Family Counseling, LLC | Counselor | 2924 Nation Road, Ware Shoals, SC 29692 | 2015-10-27 |
| 1942528161 | Self Medical Group | Family Medicine | 167 Greenwood Ave S, Ware Shoals, SC 29692 | 2010-05-12 |
| 1629136858 | West End Drug Inc | Pharmacist | 80 N Greenwood Ave, Ware Shoals, SC 29692 | 2006-12-04 |
| 1043229982 | Bennie S Henderson | Nurse Practitioner | 157 B S Greenwood Ave Ext, Ware Shoals, SC 29692 | 2006-08-07 |
| 1053629519 | Stacey Bass | Pharmacist | 734 N Greenwood Ave, Ware Shoals, SC 29692-1233 | 2010-09-18 |
| 1205144490 | Joseph Seth Pulley | Pharmacist | 734 N Greenwood Ave, Ware Shoals, SC 29692-1233 | 2010-09-22 |
| 1992038533 | Freds Stores of Tennessee Inc | Durable Medical Equipment & Medical Supplies | 734 N Greenwood Ave, Ware Shoals, SC 29692-1233 | 2009-09-15 |
| 1689858367 | Harmony Residential Care Center, LLC | Assisted Living Facility | 10 N Greenwood Ave, Ware Shoals, SC 29692-1239 | 2007-12-18 |
| 1104022516 | Park Pharmacy, Inc | Durable Medical Equipment & Medical Supplies | 9 E Main St, Ware Shoals, SC 29692-1301 | 2007-06-22 |
| Find all providers in zip 29692 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942528161 | Self Medical Group | Family Medicine | 167 Greenwood Ave S, Ware Shoals, SC 29692 | 2010-05-12 |
| 1700171584 | Rodrine Asante Buffaloe | Family Medicine | 157b S Greenwood Ave, Ware Shoals, SC 29692-1636 | 2011-06-09 |
| 1780649582 | S D Pendergrass IIi | Family Medicine | 85 S Greenwood Ave, Ware Shoals, SC 29692-1534 | 2006-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801495841 | Neuro Health Sc LLC | Family Medicine | 108 Commons Blvd Ste A, Piedmont, SC 29673-7766 | 2020-10-21 |
| 1811595499 | Laura Coolidge | Family Medicine | 1528 Seacroft Rd, Charleston, SC 29412-8113 | 2020-10-15 |
| 1154928570 | Lexington Health Inc | Family Medicine | 146 E Hospital Dr Ste 500, West Columbia, SC 29169-4842 | 2020-10-08 |
| 1477150340 | Meghan Hodapp | Family Medicine | 623 Awendaw Lakes Blvd, Awendaw, SC 29429-6407 | 2020-10-05 |
| 1033716253 | Proactive Md Tindall Spartanburg Health Center | Family Medicine | 2273 Hayne St., Spartanburg, SC 29301 | 2020-10-01 |
| 1851906267 | Avneet Nagra | Family Medicine | 162 Montauk Dr, Lexington, SC 29072-6776 | 2020-09-11 |
| 1134732753 | Ovp Health Care, Inc. | Family Medicine | 101 S Catawba St, Lancaster, SC 29720-2411 | 2020-08-24 |
| 1063024578 | Beaufort County Memorial Hospital | Family Medicine | Beaufort Memorial Preoperative Assessment Clinic, 989 Ribaut Road Suite 370, Beaufort, SC 29902 | 2020-08-18 |
| 1841801149 | Palmetto Primary Care Physicians, LLC | Family Medicine | 1200 Two Island Ct Unit E, Mt Pleasant, SC 29466-7418 | 2020-08-11 |
| 1922617950 | Fred E Hill | Family Medicine | 1033 Jervey Point Rd, Charleston, SC 29492-8372 | 2020-07-27 |
| Find all providers with the same taxonomy | ||||
| City | WARE SHOALS |
| Zip Code | 29692 |
Please comment or provide details below to improve the information on CAROLINA HEALTH CENTERS, 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.