1. Home
  2. Directory
  3. South Carolina
  4. Sumter
  5. Specialist
  6. NPI Profile

CAROLINA GERIATRIC SPECIALISTS, LLC
NPI 1124313101
Specialist in Sumter, SC

Active since June 17, 2011CLIA 42D1044297 · Microscopy
244 CHURCH ST, SUMTER, SC 29150(803) 775-1001(803) 774-1012 Get Directions Write a Review

NPPES record last updated: July 16, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carolina Geriatric Specialists, Llc NPPES

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

CAROLINA GERIATRIC SPECIALISTS, LLC (NPI 1124313101) is a healthcare organization registered as a specialist in Sumter, South Carolina and active in the NPI registry since June 2011. The organization holds a CLIA Microscopy certificate valid through August 15, 2027 and lists Macdonald Mayes Dubose, Owner, as its authorized official.

NPPES Registry Identity

NPI1124313101
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCAROLINA GERIATRIC SPECIALISTS, LLC
Location Address244 CHURCH STSumter, SC 29150-4256
Mailing Address244 Church StSumter, SC 29150-4256 · (803) 775-1001 · Fax (803) 774-1012
Phone(803) 775-1001
Fax(803) 774-1012
Organization SubpartNo
Authorized OfficialMacdonald Mayes DuboseOwner · (803) 775-1001
Enumeration DateJune 17, 2011
Last NPPES UpdateJuly 16, 2015
✔ NPI 1124313101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in SC · 22541
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
244 CHURCH ST, Sumter, SC 29150
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINH67520SC
Medicaid1265418164SC
Medicare PINH675200281SC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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) 42D1044297

Carolina Geriatric Specialists, LLC · Sumter, SC
Active · expires Aug 15, 2027
CLIA Number42D1044297
Laboratory TypePhysician Office
Certificate Effective DateAugust 16, 2025
Certificate Expiration DateAugust 15, 2027
Laboratory DirectorDr. Macdonald M. Dubose
Laboratory Phone(803) 775-1001
Laboratory LocationCarolina Geriatric Specialists, LLC244 Church St, Sumter, SC 29150
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 5

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

MRS. LAURIN GAYMON LEE FNP-BC
Nurse Practitioner (Family)
244 CHURCH ST
SUMTER, SC 29150
Sumter County (803) 775-1001
MACDONALD MAYES DUBOSE M.D.
Family Medicine (Geriatric Medicine)
244 CHURCH ST
SUMTER, SC 29150
Sumter County (803) 775-1001
DR. PHILIP H BRANDT MD
Internal Medicine
244 CHURCH ST
SUMTER, SC 29150
Sumter County (803) 775-6338
DR. HUGH T STODDARD JR. MD
Internal Medicine
244 CHURCH ST
SUMTER, SC 29150
Sumter County (803) 775-6338
INTERNAL MEDICAL ASSOCIATES, PA
Internal Medicine
244 CHURCH ST
SUMTER, SC 29150
Sumter County (803) 775-6338

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 Geriatric Specialists, LLC's NPI number?

The NPI number for Carolina Geriatric Specialists, LLC is 1124313101. It was assigned to this organization in the NPPES registry on June 17, 2011.

Where is Carolina Geriatric Specialists, LLC located?

Carolina Geriatric Specialists, LLC is located at 244 Church St, Sumter, SC 29150. The listed phone number is (803) 775-1001.

What is Carolina Geriatric Specialists, LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Carolina Geriatric Specialists, LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 42D1044297) is associated with this NPI, valid through August 15, 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 Carolina Geriatric Specialists, LLC was last updated on July 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.