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SOUTHMED AMBULANCE SERVICE LLC
NPI 1154824563
Ambulance - Land Transport in Sumter, SC

Active since March 12, 2018CLIA 42D2131229 · Waiver
1150 BROAD ST STE 3, SUMTER, SC 29150(803) 968-3009 Get Directions Write a Review

NPPES record last updated: May 4, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 4, 2022, Apr 28, 2021, Mar 12, 2018 (3 updates tracked since 2018).

About Southmed Ambulance Service Llc NPPES

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

SOUTHMED AMBULANCE SERVICE LLC (NPI 1154824563) is a healthcare organization registered as a land transport in Sumter, South Carolina and active in the NPI registry since March 2018. The organization holds a CLIA Waiver certificate valid through May 23, 2027 and lists James Derick Pearson, Director, as its authorized official.

NPPES Registry Identity

NPI1154824563
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameSOUTHMED AMBULANCE SERVICE LLC
Location Address1150 BROAD ST STE 3Sumter, SC 29150-1997
Mailing Address3150 Ashlynn WaySumter, SC 29154-8279
Phone(803) 968-3009
Organization SubpartNo
Authorized OfficialJames Derick PearsonDirector · (803) 968-3009
Enumeration DateMarch 12, 2018
Last NPPES UpdateMay 4, 20223 updates tracked since enumeration
NPPES CertifiedMay 4, 2022
✔ NPI 1154824563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
1150 BROAD ST STE 3, Sumter, SC 29150
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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 42D2131229

Southmed Ambulance Service · Sumter, SC
Active · expires May 23, 2027
CLIA Number42D2131229
Laboratory TypeAmbulance
Certificate Effective DateMay 24, 2025
Certificate Expiration DateMay 23, 2027
Laboratory DirectorJames D. Pearson
Laboratory Phone(803) 968-3009
Laboratory LocationSouthmed Ambulance Service1150 Broad St Office #3, Sumter, SC 29150
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ground mileage, per statute mile A0425
Ground mileage per statute mile is a method of calculating the cost of transportation for medical services. It is used when a patient needs to be transported by ground ambulance. The cost is calculated per mile, from the pick-up location to the medical facility.
15,430 services23 patients
Ambulance service, basic life support, non-emergency transport, (bls) A0428
Basic Life Support (BLS) non-emergency ambulance service provides safe transportation for patients who don't need immediate medical attention. It includes monitoring vital signs, ensuring comfort, and administering basic care during transport.
2,180 services23 patients

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 Southmed Ambulance Service LLC's NPI number?

The NPI number for Southmed Ambulance Service LLC is 1154824563. It was assigned to this organization in the NPPES registry on March 12, 2018.

Where is Southmed Ambulance Service LLC located?

Southmed Ambulance Service LLC is located at 1150 Broad St Ste 3, Sumter, SC 29150. The listed phone number is (803) 968-3009.

What is Southmed Ambulance Service LLC's specialty?

The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.

Does Southmed Ambulance Service LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2131229) is associated with this NPI, valid through May 23, 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 Southmed Ambulance Service LLC was last updated on May 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.