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MAIN STREET MEDICAL ASSOCIATES LLC
NPI 1144822735
Family Medicine in Marion, SC

Active since November 10, 2020CLIA 42D2219625 · Waiver
618 N MAIN ST, MARION, SC 29571(843) 433-8010(843) 433-8692 Get Directions Write a Review

NPPES record last updated: September 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 6, 2024, Jan 16, 2023, Dec 19, 2020 and 1 more (4 updates tracked since 2020).

About Main Street Medical Associates Llc NPPES

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

MAIN STREET MEDICAL ASSOCIATES LLC (NPI 1144822735) is a healthcare organization registered as a family medicine in Marion, South Carolina and active in the NPI registry since November 2020. The organization holds a CLIA Waiver certificate valid through April 5, 2027 and lists Angela Hucks Cooper, Owner, as its authorized official.

NPPES Registry Identity

NPI1144822735
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMAIN STREET MEDICAL ASSOCIATES LLC
Location Address618 N MAIN STMarion, SC 29571-3034
Mailing AddressPo Box 1440Marion, SC 29571-1440
Phone(843) 433-8010
Fax(843) 433-8692
Organization SubpartNo
Authorized OfficialAngela Hucks CooperOwner · (843) 433-8010
Enumeration DateNovember 10, 2020
Last NPPES UpdateSeptember 6, 20244 updates tracked since enumeration
NPPES CertifiedSeptember 6, 2024
✔ NPI 1144822735 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.
618 N MAIN ST, Marion, SC 29571
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and more.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 42D2219625

Main Street Medical Associates, LLC · Marion, SC
Active · expires Apr 5, 2027
CLIA Number42D2219625
Laboratory TypePhysician Office
Certificate Effective DateApril 6, 2025
Certificate Expiration DateApril 5, 2027
Laboratory DirectorAngela Cooper
Laboratory Phone(843) 423-1962
Laboratory LocationMain Street Medical Associates, LLC618 N Main Street, Marion, SC 29571
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

ANGELA HUCKS COOPER PA-C
Physician Assistant
618 N MAIN ST
MARION, SC 29571
Marion County (843) 433-8010
DR. BRUCE ELLIS BURNER SR. M.D.
Family Medicine
618 N MAIN ST
MARION, SC 29571
Marion County (843) 433-8010

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 Main Street Medical Associates LLC's NPI number?

The NPI number for Main Street Medical Associates LLC is 1144822735. It was assigned to this organization in the NPPES registry on November 10, 2020.

Where is Main Street Medical Associates LLC located?

Main Street Medical Associates LLC is located at 618 N Main St, Marion, SC 29571. The listed phone number is (843) 433-8010.

What is Main Street Medical Associates LLC's specialty?

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

Does Main Street Medical Associates LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2219625) is associated with this NPI, valid through April 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Main Street Medical Associates LLC accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and Molina Healthcare list Main Street Medical Associates LLC 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 Main Street Medical Associates LLC was last updated on September 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.