CLEMSON UNIVERSITY
NPI 1093990707
Nurse Practitioner - Family in Walhalla, SC
About Clemson University NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CLEMSON UNIVERSITY (NPI 1093990707) is a healthcare organization registered as a family in Walhalla, South Carolina and active in the NPI registry since January 2008. The organization holds a CLIA Waiver certificate valid through August 31, 2026, maintains 2 additional practice locations, and lists Ronald W Gimbel, Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Secondary Practice Locations 2
Other Identifiers 1
Group Practice 2
Accepted 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 42D0696372
Clemson University Fire Dept · Clemson, SCOther Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Clemson University's NPI number?
The NPI number for Clemson University is 1093990707. It was assigned to this organization in the NPPES registry on January 2, 2008. The provider is also known as Clemson University Clemson Rural Health.
Where is Clemson University located?
Clemson University is located at 200 Booker Dr, Walhalla, SC 29691. The listed phone number is (864) 656-1969.
What is Clemson University's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Does Clemson University hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 42D0696372) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Clemson University accept?
Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and First Choice Next list Clemson University 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 Clemson University was last updated on December 15, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.
