GENESIS HEALTHCARE, INC.
NPI 1073499356
Dentist - General Practice in Walterboro, SC

Q: What is Genesis Healthcare, Inc.'s NPI number?

The NPI number for Genesis Healthcare, Inc. is 1073499356. It was assigned to this organization in the NPPES registry on August 13, 2025. The provider is doing business as Walterboro Family Care and Pediatrics.

Q: What is Genesis Healthcare, Inc.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since August 13, 2025CLIA 42D2125071 · Microscopy

830 ROBERTSON BLVD, WALTERBORO, SC 29488(843) 781-7428(843) 781-7429 Get Directions Write a Review

NPPES record last updated: August 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Genesis Healthcare, Inc. NPPES

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

GENESIS HEALTHCARE, INC. (NPI 1073499356), doing business as Walterboro Family Care And Pediatrics, is a healthcare organization registered as a general practice in Walterboro, South Carolina and active in the NPI registry since August 2025. The organization holds a CLIA Microscopy certificate valid through January 30, 2027 and lists Tony Megna, Ceo, as its authorized official.

NPPES Registry Identity

NPI1073499356

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameGENESIS HEALTHCARE, INC.

Location Address830 ROBERTSON BLVDWalterboro, SC 29488-3081

Mailing Address8906 Two Notch RdColumbia, SC 29223-6366 · (803) 254-3676 · Fax (803) 254-3678

Phone(843) 781-7428

Fax(843) 781-7429

Organization SubpartNo

Authorized OfficialTony MegnaCeo · (803) 254-3676

Enumeration DateAugust 13, 2025

NPPES CertifiedAugust 13, 2025

✔ NPI 1073499356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

830 ROBERTSON BLVD, Walterboro, SC 29488

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Other Names 1

Doing Business AsWalterboro Family Care And Pediatrics

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 for Provider-Performed Microscopy Procedures (PPMP) 42D2125071

Genesis Healthcare, Inc Dba Walterboro Family Care And Pediatrics · Walterboro, SC

Active · expires Jan 30, 2027

CLIA Number42D2125071

Laboratory TypePhysician Office

Certificate Effective DateJanuary 31, 2025

Certificate Expiration DateJanuary 30, 2027

Laboratory DirectorDr. Alexander Cohen

Laboratory Phone(843) 781-7428

Laboratory LocationGenesis Healthcare, Inc Dba Walterboro Family Care And Pediatrics830 Robertson Blvd, Walterboro, SC 29488

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASHLEY ELAINE WARD FNP

Nurse Practitioner (Family)