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MCCORMICK FAMILY PRACTICE
NPI 1063545119
Family Medicine in Mc Cormick, SC

Active since March 14, 2007CLIA 42D0995117 · Waiver
1319 S MAIN ST, MC CORMICK, SC 29835(864) 852-3336(864) 852-3339 Get Directions Write a Review

NPPES record last updated: June 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

NPI1063545119
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCAROLINA HEALTH CENTERS, INC.
Location Address1319 S MAIN STMc Cormick, SC 29835-7928
Mailing Address219a North Mine StreetMccormick, SC 29835 · (864) 852-3336 · Fax (864) 852-3339
Phone(864) 852-3336
Fax(864) 852-3339
Organization SubpartNo
Authorized OfficialLisa Y GilmerPractice Administrator · (864) 941-8121
Enumeration DateMarch 14, 2007
Last NPPES UpdateJune 7, 2023
NPPES CertifiedJune 7, 2023
✔ NPI 1063545119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedClinic/Center · Federally Qualified Health Center (FQHC)Taxonomy 261QF0400X
1319 S MAIN ST, Mc Cormick, SC 29835
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Other Names 1

Doing Business AsMccormick Family Practice

Other Identifiers 1

MedicaidFQC002SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and more.Insurance ›

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, SC
Active · expires Jun 21, 2027
CLIA Number42D0995117
Laboratory TypeRural Health Clinic
Certificate Effective DateJune 22, 2025
Certificate Expiration DateJune 21, 2027
Laboratory DirectorLocke Simons
Laboratory Phone(864) 852-3336
Laboratory LocationMccormick Family Practice Center1319 S Main Street, Mc Cormick, SC 29835
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 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.

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 from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and Molina Healthcare 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.