MEDICAL UNIVERSITY HOSPITAL AUTHORITY
NPI 1043837669
Clinic/Center - Rural Health in Mullins, SC

Active since June 30, 2020CLIA 42D0701376 · Waiver
511 S MAIN ST, MULLINS, SC 29574(843) 464-8244 Get Directions Write a Review

NPPES record last updated: September 23, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 23, 2022, Oct 16, 2020, Jul 2, 2020 (3 updates tracked since 2020).

About Medical University Hospital Authority NPPES

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

MEDICAL UNIVERSITY HOSPITAL AUTHORITY (NPI 1043837669) is a healthcare organization registered as a rural health in Mullins, South Carolina and active in the NPI registry since June 2020. The organization holds a CLIA Waiver certificate valid through August 19, 2028, maintains a secondary practice location in Chester, and lists Karyn Rae, Chief, as its authorized official.

NPPES Registry Identity

NPI1043837669
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameMEDICAL UNIVERSITY HOSPITAL AUTHORITY
Location Address511 S MAIN STMullins, SC 29574-3509
Mailing AddressPo Box 23467New York, NY 10087-3467 · (843) 792-6200
Organization SubpartNo
Authorized OfficialKaryn RaeChief · (843) 876-1344
Enumeration DateJune 30, 2020
Last NPPES UpdateSeptember 23, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2022
✔ NPI 1043837669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedInternal MedicineTaxonomy 207R00000X
511 S MAIN ST, Mullins, SC 29574

Secondary Practice Location 1

Location 11 Medical Park DrChester, SC 29706-9769 · Phone (803) 581-3151

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Medical University Hospital Authority is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

356

Medicare enrollment records show 356 clinicians reassign Medicare billing to Medical University Hospital Authority, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 19

Certified Registered Nurse Anesthetist (CRNA)229
Nurse Practitioner42
Registered Dietitian or Nutrition Professional25
Obstetrics/Gynecology12
Clinical Social Worker10
Family Practice10
Anesthesiology Assistant6
Pediatric Medicine6
11 other specialties16

Nearest to this location (20)

See all 356
Internal Medicine
NPI 1982668745
511 S MAIN ST
Mullins, SC 29574
(843) 464-8244
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1275551301
2845 E HIGHWAY 76 SUITE 4
Mullins, SC 29574
(843) 431-2720
✔ PECOS1.1 mi
Pediatric Medicine
NPI 1871507913
2845 E HIGHWAY 76 SUITE 4
Mullins, SC 29574
(843) 431-2720
✔ PECOS3.5 mi
Internal Medicine
NPI 1689608002
1205 N MAIN ST
Marion, SC 29571
(843) 423-0760
✔ PECOS✔ Accepts Medicare8.3 mi
Nurse Practitioner
NPI 1851056097
301 E JACKSON ST
Dillon, SC 29536
(843) 487-1160
✔ PECOS✔ Accepts Medicare16 mi
Obstetrics/Gynecology
NPI 1356315212
14508 JAMES B WHITE HWY S
Tabor City, NC 28463
(910) 641-8680
✔ PECOS✔ Accepts Medicare25 mi
Nurse Practitioner
NPI 1770089823
1594 FREEDOM BLVD STE 102
Florence, SC 29505
(843) 679-4221
✔ PECOS✔ Accepts Medicare29 mi
Nurse Practitioner
NPI 1679926935
1594 FREEDOM BLVD
Florence, SC 29505
(843) 664-9696
✔ PECOS✔ Accepts Medicare29 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1104551787
555 E CHEVES ST
Florence, SC 29506
(843) 777-5621
✔ Accepts Medicare29 mi
Nephrology
NPI 1770572562
255 WARLEY ST
Florence, SC 29501
(843) 669-6694
✔ PECOS✔ Accepts Medicare30 mi
Internal Medicine
NPI 1841490869
276 N RON MCNAIR BLVD
Lake City, SC 29560
(843) 394-5471
✔ PECOS✔ Accepts Medicare37 mi
Family Practice
NPI 1700825858
276 N RON MCNAIR BLVD
Lake City, SC 29560
(843) 394-5471
✔ PECOS✔ Accepts Medicare37 mi
Family Practice
NPI 1144314394
148 SAULS ST
Lake City, SC 29560
(843) 374-3621
✔ PECOS✔ Accepts Medicare37 mi
Diagnostic Radiology
NPI 1689779662
110 NNPTC CIR
Goose Creek, SC 29445
(843) 792-1414
✔ PECOS✔ Accepts Medicare91 mi
Mental Health Counselor
NPI 1407235765
597 OLD MOUNT HOLLY RD STE 307
Goose Creek, SC 29445
(843) 212-6768
✔ PECOS93 mi
Pediatric Medicine
NPI 1073521605
838 W MEETING ST SUITE B
Lancaster, SC 29720
(803) 285-2700
✔ PECOS94 mi
Neurology
NPI 1801868153
834 W MEETING ST STE G
Lancaster, SC 29720
(803) 285-1111
✔ PECOS✔ Accepts Medicare94 mi
Certified Nurse Midwife (CNM)
NPI 1164301883
834 W MEETING ST BLDG 4
Lancaster, SC 29720
(803) 285-5900
✔ PECOS94 mi
Obstetrics/Gynecology
NPI 1174541577
834 W MEETING ST BLDG 4 SUITE E
Lancaster, SC 29720
(803) 285-5900
✔ PECOS✔ Accepts Medicare94 mi
Clinical Social Worker
NPI 1891334025
3301 SALTERBECK ST STE 101
Mount Pleasant, SC 29466
(843) 920-2175
✔ PECOS✔ Accepts Medicare98 mi
See all 356 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 of Waiver 42D0701376

Medical University Health Authority Dba Musc Health Primary Care Mullins · Mullins, SC
Active · expires Aug 19, 2028
CLIA Number42D0701376
Laboratory TypeRural Health Clinic
Certificate Effective DateAugust 20, 2026
Certificate Expiration DateAugust 19, 2028
Laboratory DirectorGanga Mathisuthan
Laboratory Phone(843) 464-8244
Laboratory LocationMedical University Health Authority Dba Musc Health Primary Care Mullins2845 E Hwy 76 , Suite 3, Mullins, SC 29574
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Medical University Hospital Authority's NPI number?

The NPI number for Medical University Hospital Authority is 1043837669. It was assigned to this organization in the NPPES registry on June 30, 2020.

Where is Medical University Hospital Authority located?

Medical University Hospital Authority is located at 511 S Main St, Mullins, SC 29574. The listed phone number is (843) 464-8244.

What is Medical University Hospital Authority's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is Medical University Hospital Authority enrolled in Medicare?

Yes. Medical University Hospital Authority is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Medical University Hospital Authority?

According to the CMS Revalidation Reassignment List (October 2026 release), 356 clinicians in 19 Medicare specialties reassign their Medicare billing to Medical University Hospital Authority. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Certified Registered Nurse Anesthetist (CRNA) (229), Nurse Practitioner (42) and Registered Dietitian or Nutrition Professional (25). Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Medical University Hospital Authority hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D0701376) is associated with this NPI, valid through August 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Medical University Hospital Authority accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and First Choice Next and 1 other insurer list Medical University Hospital Authority as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Medical University Hospital Authority was last updated on September 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.