MCCORMICK FAMILY PRACTICE
NPI 1063545119
Family Medicine in Mc Cormick, SC
About Mccormick Family Practice NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MCCORMICK FAMILY PRACTICE (NPI 1063545119) is a healthcare organization registered as a family medicine in Mc Cormick, South Carolina and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through June 21, 2027 and lists Lisa Y Gilmer, Practice Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 1
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)
Mccormick Family Practice is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
24Medicare enrollment records show 24 clinicians reassign Medicare billing to Mccormick Family Practice, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 3
Nearest to this location (20)
See all 24Source: 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 42D0995117
Mccormick Family Practice Center · Mc Cormick, SCFrequently 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 Carolina Health Centers, Inc.'s NPI number?
The NPI number for Carolina Health Centers, Inc. is 1063545119. It was assigned to this organization in the NPPES registry on March 14, 2007. The provider is doing business as Mccormick Family Practice.
Where is Carolina Health Centers, Inc. located?
Carolina Health Centers, Inc. is located at 1319 S Main St, Mc Cormick, SC 29835. The listed phone number is (864) 852-3336.
What is Carolina Health Centers, Inc.'s specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Carolina Health Centers, Inc. enrolled in Medicare?
Yes. Carolina Health Centers, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Carolina Health Centers, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 24 clinicians in 3 Medicare specialties reassign their Medicare billing to Carolina Health Centers, 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 (13), Family Practice (9) and Mental Health Counselor (2). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Carolina Health Centers, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 42D0995117) is associated with this NPI, valid through June 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Carolina Health Centers, Inc. 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 Carolina Health Centers, 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 Carolina Health Centers, Inc. was last updated on June 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Mccormick Family Practice · NPI 1063545119
Family Medicine organization in Mc Cormick, South Carolina. Organization record, active in the CMS NPPES registry since March 14, 2007.
## Identity
- **NPI:** 1063545119 (Entity type: Organization)
- **Enumerated:** March 14, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Carolina Health Centers, Inc.
- **Organization subpart:** No
- **Authorized official:** Lisa Gilmer, PRACTICE ADMINISTRATOR
## Practice location
- **Address:** 1319 S MAIN ST, Mc Cormick, SC 29835-7928
- **Phone:** (864) 852-3336 · **Fax:** (864) 852-3339
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 24 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (13), Family Practice (9), Mental Health Counselor (2); [full list](https://npiprofile.com/npi/1063545119/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 7, 2023
- **Other identifiers:** Medicaid FQC002 (SC)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1063545119) · Data from the CMS NPPES public registry.