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SMITH MEDICAL CLINIC
NPI 1043684632
Clinic/Center - Community Health in Pawleys Island, SC

Active since November 19, 2015CLIA 42D0859916 · Microscopy
116 BASKERVILL DR, PAWLEYS ISLAND, SC 29585(843) 237-2672(843) 237-0369 Get Directions Write a Review

NPPES record last updated: November 19, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Smith Medical Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SMITH MEDICAL CLINIC (NPI 1043684632) is a healthcare organization registered as a community health in Pawleys Island, South Carolina and active in the NPI registry since November 2015. The organization holds a CLIA Microscopy certificate valid through August 31, 2026 and lists Anne Faul, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1043684632
Entity TypeOrganization
Primary Taxonomy261QC1500X
Legal Business NameSMITH MEDICAL CLINIC
Location Address116 BASKERVILL DRPawleys Island, SC 29585-6185
Mailing Address116 Baskervill DrPawleys Island, SC 29585-6185 · (843) 237-2672 · Fax (843) 237-0369
Phone(843) 237-2672
Fax(843) 237-0369
Organization SubpartNo
Authorized OfficialAnne FaulExecutive Director · (843) 237-2672
Enumeration DateNovember 19, 2015
✔ NPI 1043684632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities
Taxonomy Code261QC1500X
License✔ Licensed in SC · MD22103
116 BASKERVILL DR, Pawleys Island, SC 29585
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 42D0859916

Smith Medical Clinic, Inc · Pawleys Island, SC
Active · expires Aug 31, 2026
CLIA Number42D0859916
Laboratory TypeCommunity Clinic
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorR C. Smith
Laboratory Phone(843) 237-2673
Laboratory LocationSmith Medical Clinic, Inc99 Baskervill Drive, Pawleys Island, SC 29585
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JAMES P. HENTZ MD
Surgery
116 BASKERVILL DR
PAWLEYS ISLAND, SC 29585
Georgetown County (843) 237-2672
DR. JOHN W. KRAMER MD
Surgery
116 BASKERVILL DR
PAWLEYS ISLAND, SC 29585
Georgetown County (843) 237-2672
JOHN PAUL KONSEK
Internal Medicine
116 BASKERVILL DR
PAWLEYS ISLAND, SC 29585
Georgetown County (843) 237-2672
DR. BEN P. CLARK OD
Optometrist
116 BASKERVILL DR
PALWEYS ISLAND, SC 29585
Georgetown County (843) 357-2020
DR. ROBERT H. FABREY II MD
Family Medicine
116 BASKERVILL DR
PAWLEYS ISLAND, SC 29585
Georgetown County (843) 237-2672
DR. R. MAXIE MCCOY MD
Urology
116 BASKERVILL DR
PAWLEYS ISLAND, SC 29585
Georgetown County (843) 237-2672
DR. DIEDRICH COLLINS WATERMAN MD
Internal Medicine (Gastroenterology)
116 BASKERVILL DR
PAWLEYS ISLAND, SC 29585
Georgetown County (843) 237-2672
MRS. CHARLOTTE T. MOORE PA
Physician Assistant
116 BASKERVILL DR
PAWLEYS ISLAND, SC 29585
Georgetown County (843) 237-2672

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Smith Medical Clinic's NPI number?

The NPI number for Smith Medical Clinic is 1043684632. It was assigned to this organization in the NPPES registry on November 19, 2015.

Where is Smith Medical Clinic located?

Smith Medical Clinic is located at 116 Baskervill Dr, Pawleys Island, SC 29585. The listed phone number is (843) 237-2672.

What is Smith Medical Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

Does Smith Medical Clinic hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 42D0859916) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Smith Medical Clinic was last updated on November 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.