FOOTHILLS COMMUNITY HEALTH CARE, INC
NPI 1063056661
Clinic/Center - Federally Qualified Health Center (FQHC) in Anderson, SC

Active since November 06, 2019CLIA 42D2081814 · Waiver
302 PEARMAN DAIRY RD STE C1, ANDERSON, SC 29625(864) 722-0283 Get Directions Write a Review

NPPES record last updated: May 12, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 12, 2026, Feb 11, 2025, Feb 7, 2025 and 2 more (5 updates tracked since 2019).

About Foothills Community Health Care, Inc NPPES

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

FOOTHILLS COMMUNITY HEALTH CARE, INC (NPI 1063056661), doing business as Foothills Community Healthcare-anderson, is a healthcare organization registered as a federally qualified health center (fqhc) in Anderson, South Carolina and active in the NPI registry since November 2019. The organization holds a CLIA Waiver certificate valid through July 30, 2028 and lists Mark John Rajkowski, Ceo, as its authorized official.

NPPES Registry Identity

NPI1063056661
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameFOOTHILLS COMMUNITY HEALTH CARE, INC
Location Address302 PEARMAN DAIRY RD STE C1Anderson, SC 29625-3802
Mailing Address302 Pearman Dairy Rd Ste C1Anderson, SC 29625-3802 · (864) 722-0283
Organization SubpartNo
Authorized OfficialMark John RajkowskiCeo · (864) 722-0283
Enumeration DateNovember 6, 2019
Last NPPES UpdateMay 12, 20265 updates tracked since enumeration
NPPES CertifiedMay 12, 2026
✔ NPI 1063056661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
302 PEARMAN DAIRY RD STE C1, Anderson, SC 29625

Other Names 1

Doing Business AsFoothills Community Healthcare-anderson

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)

Foothills Community Health Care, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

15

Medicare enrollment records show 15 clinicians reassign Medicare billing to Foothills Community Health Care, Inc, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 6

Nurse Practitioner6
Clinical Social Worker3
Family Practice3
Internal Medicine1
Pediatric Medicine1
Psychiatry1

Clinicians, nearest first (15)

Nurse Practitioner
NPI 1457839714
2000 E GREENVILLE ST STE 2000
Anderson, SC 29621
(864) 260-1590
✔ PECOS✔ Accepts Medicare4.1 mi
Family Practice
NPI 1053609644
1011 TIGER BLVD SUITE 400
Clemson, SC 29631
(864) 722-0283
✔ PECOS✔ Accepts Medicare16 mi
Family Practice
NPI 1679799605
100 OMNI DR SUITE A
Seneca, SC 29672
(864) 885-7520
✔ PECOS✔ Accepts Medicare22 mi
Nurse Practitioner
NPI 1225543242
1510 BLUE RIDGE BLVD STE 105
Seneca, SC 29672
(864) 722-5315
✔ PECOS✔ Accepts Medicare23 mi
Psychiatry
NPI 1427006808
102 COMMONS BLVD STE C
Piedmont, SC 29673
(864) 220-9115
✔ PECOS✔ Accepts Medicare23 mi
Nurse Practitioner
NPI 1952843625
403 HILLCREST DR STE E
Easley, SC 29640
(864) 343-1220
✔ PECOS✔ Accepts Medicare23 mi
Family Practice
NPI 1811327851
106 JOHN ST
Easley, SC 29640
(864) 859-2220
✔ PECOS✔ Accepts Medicare24 mi
Nurse Practitioner
NPI 1275141327
6119 WHITE HORSE RD STE 14
Greenville, SC 29611
(864) 614-7001
✔ PECOS✔ Accepts Medicare27 mi
Clinical Social Worker
NPI 1700548831
6119 WHITE HORSE RD STE 14
Greenville, SC 29611
(864) 614-7001
✔ PECOS27 mi
Clinical Social Worker
NPI 1477596765
508 AIRDALE LN
Simpsonville, SC 29680
(864) 906-1572
✔ PECOS27 mi
Internal Medicine
NPI 1629381637
5 W MAIN ST
Greenville, SC 29611
(864) 522-5220
✔ PECOS✔ Accepts Medicare28 mi
Nurse Practitioner
NPI 1235304023
3236 HOLMESTOWN RD SUITE E1
Myrtle Beach, SC 29588
(843) 663-8000
✔ PECOS✔ Accepts Medicare219 mi
Pediatric Medicine
NPI 1922169150
601 S FLORIDA AVE SUITE 6
Lakeland, FL 33801
(863) 688-0841
✔ PECOS448 mi
Nurse Practitioner
NPI 1518954478
2710 GLASGOW AVE
Newark, DE 19702
(302) 834-8686
✔ PECOS✔ Accepts Medicare520 mi
Clinical Social Worker
NPI 1407183890
123 VALLEY HEIGHTS DR
Williamsport, PA 17701
(570) 651-9087
✔ PECOS✔ Accepts Medicare561 mi

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 42D2081814

Foothills Community Health Care Inc · Anderson, SC
Active · expires Jul 30, 2028
CLIA Number42D2081814
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJuly 31, 2026
Certificate Expiration DateJuly 30, 2028
Laboratory DirectorDr. Lakra Manju
Laboratory Phone(864) 722-0283
Laboratory LocationFoothills Community Health Care Inc302 Pearman Dairy Rd Ste C1, Anderson, SC 29625
CLIA data matches this NPI record on: Address Name 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 Foothills Community Health Care, Inc's NPI number?

The NPI number for Foothills Community Health Care, Inc is 1063056661. It was assigned to this organization in the NPPES registry on November 6, 2019. The provider is doing business as Foothills Community Healthcare-Anderson.

Where is Foothills Community Health Care, Inc located?

Foothills Community Health Care, Inc is located at 302 Pearman Dairy Rd Ste C1, Anderson, SC 29625. The listed phone number is (864) 722-0283.

What is Foothills Community Health Care, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Foothills Community Health Care, Inc enrolled in Medicare?

Yes. Foothills Community Health Care, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Foothills Community Health Care, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 15 clinicians in 6 Medicare specialties reassign their Medicare billing to Foothills Community Health Care, Inc. 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 Nurse Practitioner (6), Clinical Social Worker (3) and Family Practice (3). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Foothills Community Health Care, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2081814) is associated with this NPI, valid through July 30, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Foothills Community Health Care, Inc accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, First Choice Next and Molina Healthcare list Foothills Community Health Care, Inc 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 Foothills Community Health Care, Inc was last updated on May 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.