HARVEST FREE MEDICAL CLINIC
NPI 1063367787
Internal Medicine in North Charleston, SC

Active since February 27, 2026CLIA 42D2068288 · Waiver
1670 DRY DOCK AVE BLDG 10B, NORTH CHARLESTON, SC 29405(843) 747-3526(843) 747-3527 Get Directions Write a Review

NPPES record last updated: February 27, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Harvest Free Medical Clinic NPPES

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

HARVEST FREE MEDICAL CLINIC (NPI 1063367787) is a healthcare organization registered as an internal medicine in North Charleston, South Carolina and active in the NPI registry since February 2026. The organization holds a CLIA Waiver certificate valid through October 30, 2027 and lists Martin Allen Smith, Clinic Director, as its authorized official.

NPPES Registry Identity

NPI1063367787
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameHARVEST FREE MEDICAL CLINIC
Location Address1670 DRY DOCK AVE BLDG 10BNorth Charleston, SC 29405-2114
Mailing Address1670 Dry Dock Ave Bldg 10bNorth Charleston, SC 29405-2114 · (843) 747-3526 · Fax (843) 747-3527
Fax(843) 747-3527
Organization SubpartNo
Authorized OfficialMartin Allen SmithClinic Director · (843) 747-3526
Enumeration DateFebruary 27, 2026
NPPES CertifiedFebruary 27, 2026
NPI 1063367787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1670 DRY DOCK AVE BLDG 10B, North Charleston, SC 29405

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

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 42D2068288

Harvest Free Medical Clinic · North Charleston, SC
Active · expires Oct 30, 2027
CLIA Number42D2068288
Laboratory TypeCommunity Clinic
Certificate Effective DateOctober 31, 2025
Certificate Expiration DateOctober 30, 2027
Laboratory DirectorMartin A. Smith
Laboratory Phone(843) 747-3526
Laboratory LocationHarvest Free Medical Clinic1670 Drydock Ave, Bldg 10B, North Charleston, SC 29405
CLIA data matches this NPI record on: 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 Harvest Free Medical Clinic's NPI number?

The NPI number for Harvest Free Medical Clinic is 1063367787. It was assigned to this organization in the NPPES registry on February 27, 2026.

Where is Harvest Free Medical Clinic located?

Harvest Free Medical Clinic is located at 1670 Dry Dock Ave Bldg 10B, North Charleston, SC 29405. The listed phone number is (843) 747-3526.

What is Harvest Free Medical Clinic's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Harvest Free Medical Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2068288) is associated with this NPI, valid through October 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Harvest Free Medical Clinic was last updated on February 27, 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.