MAIN STREET MEDICAL ASSOCIATES LLC
NPI 1144822735
Family Medicine in Marion, SC
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
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Main Street Medical Associates Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Main Street Medical Associates LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 of Waiver 42D2219625
Main Street Medical Associates, LLC · Marion, 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 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.
Is Main Street Medical Associates LLC enrolled in Medicare?
Yes. Main Street Medical Associates LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Main Street Medical Associates LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Main Street Medical Associates LLC. 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.
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 Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and First Choice Next and 1 other insurer 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 2 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.
# Main Street Medical Associates Llc · NPI 1144822735
Family Medicine organization in Marion, South Carolina. Organization record, active in the CMS NPPES registry since November 10, 2020.
## Identity
- **NPI:** 1144822735 (Entity type: Organization)
- **Enumerated:** November 10, 2020
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Angela Cooper, OWNER
## Practice location
- **Address:** 618 N MAIN ST, Marion, SC 29571-3034
- **Phone:** (843) 433-8010 · **Fax:** (843) 433-8692
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 6, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1144822735) · Data from the CMS NPPES public registry.