NU SOUTH PROVIDERS LLC
NPI 1144038274
Family Medicine in Moncks Corner, SC

Active since December 20, 2024
117 NORTH HIGHWAY 52, UNIT 56, MONCKS CORNER, SC 29461(843) 900-7098 Get Directions Write a Review

NPPES record last updated: December 24, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 24, 2024, Dec 20, 2024 (2 updates tracked since 2024).

About Nu South Providers Llc NPPES

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

NU SOUTH PROVIDERS LLC (NPI 1144038274) is a healthcare organization registered as a family medicine in Moncks Corner, South Carolina and active in the NPI registry since December 2024. The organization lists Kimberly Davis, Credentialing Specialists, as its authorized official.

NPPES Registry Identity

NPI1144038274
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNU SOUTH PROVIDERS
Location Address117 NORTH HIGHWAY 52, UNIT 56Moncks Corner, SC 29461-0056
Mailing AddressPo Box 56Moncks Corner, SC 29461-0056 · (843) 900-7098
Organization SubpartNo
Authorized OfficialKimberly DavisCredentialing Specialists · (912) 373-4385
Enumeration DateDecember 20, 2024
Last NPPES UpdateDecember 24, 20242 updates tracked since enumeration
NPPES CertifiedDecember 24, 2024
✔ NPI 1144038274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
117 NORTH HIGHWAY 52, Moncks Corner, SC 29461

Other Names 1

Doing Business AsNu South Providers Llc

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nu South Providers Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Nu South Providers LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1356717276
111 DOCTOR CIR
Columbia, SC 29203
(800) 491-0909
✔ PECOS✔ Accepts Medicare83 mi
Nurse Practitioner
NPI 1467984450
SC HOUSE CALLS INC 111 DOCTORS CIRCLE
Columbia, SC 29203
(800) 491-0909
✔ PECOS86 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Nu South Providers's NPI number?

The NPI number for Nu South Providers is 1144038274. It was assigned to this organization in the NPPES registry on December 20, 2024. The provider is doing business as Nu South Providers LLC.

Where is Nu South Providers located?

Nu South Providers is located at 117 North Highway 52 Unit 56, Moncks Corner, SC 29461. The listed phone number is (843) 900-7098.

What is Nu South Providers's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nu South Providers enrolled in Medicare?

Yes. Nu South Providers is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Nu South Providers?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Nu South Providers. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Nu South Providers was last updated on December 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.