CAROLINA GERIATRIC SPECIALISTS, LLC
NPI 1124313101
Specialist in Sumter, SC
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
Specialties & Licenses
Other Identifiers 3
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Carolina Geriatric Specialists, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Carolina Geriatric Specialists, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
Sumter, SC 29150
Source: 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 for Provider-Performed Microscopy Procedures (PPMP) 42D1044297
Carolina Geriatric Specialists, LLC · Sumter, 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 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.
Is Carolina Geriatric Specialists, LLC enrolled in Medicare?
Yes. Carolina Geriatric Specialists, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Carolina Geriatric Specialists, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians reassign their Medicare billing to Carolina Geriatric Specialists, LLC, in Emergency Medicine, Family Practice and Nurse Practitioner. 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. Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# Carolina Geriatric Specialists, Llc · NPI 1124313101
Specialist organization in Sumter, South Carolina. Organization record, active in the CMS NPPES registry since June 17, 2011.
## Identity
- **NPI:** 1124313101 (Entity type: Organization)
- **Enumerated:** June 17, 2011
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Macdonald Dubose, OWNER
## Practice location
- **Address:** 244 CHURCH ST, Sumter, SC 29150-4256
- **Phone:** (803) 775-1001 · **Fax:** (803) 774-1012
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (2), Nurse Practitioner (2), Emergency Medicine (1); 2 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 16, 2015
- **Other identifiers:** Medicare UPIN H67520 (SC); Medicaid 1265418164 (SC); Medicare PIN H675200281 (SC)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1124313101) · Data from the CMS NPPES public registry.