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LAFFITTE AND WARREN MEDICAL CENTER
NPI 1164529491
Family Medicine in Allendale, SC

Active since September 20, 2006
623 MEMORIAL AVE N, ALLENDALE, SC 29810(803) 632-3311(803) 632-3415 Get Directions Write a Review

NPPES record last updated: May 14, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Laffitte And Warren Medical Center NPPES

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

LAFFITTE AND WARREN MEDICAL CENTER (NPI 1164529491) is a healthcare organization registered as a family medicine in Allendale, South Carolina and active in the NPI registry since September 2006. The organization lists Ken Hiatt, Administrator, as its authorized official.

NPPES Registry Identity

NPI1164529491
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameALLENDALE COUNTY HOSPITAL BOARD
Location Address623 MEMORIAL AVE NAllendale, SC 29810-2715
Mailing AddressPo Box 218Fairfax, SC 29827-0218 · (803) 632-3311 · Fax (803) 632-3415
Phone(803) 632-3311
Fax(803) 632-3415
Organization SubpartNo
Authorized OfficialKen HiattAdministrator · (803) 632-3311
Enumeration DateSeptember 20, 2006
Last NPPES UpdateMay 14, 2013
✔ NPI 1164529491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in SC · HTL-041
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.
623 MEMORIAL AVE N, Allendale, SC 29810
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Other Names 1

Doing Business AsLaffitte And Warren Medical Center

Other Identifiers 6

Other7962704SC · Aetna
Other=========005SC · Tricare/champus
MedicaidGP3474SC
Other=========004SC · Bcbs
Other20044797SC · Select Health
Medicare ID-Type Unspecified7727SC · Mcare Non Rhc

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 Health, Ambetter of North Carolina and more.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)

Laffitte And Warren Medical Center 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 Laffitte And Warren Medical Center, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Nancy Young, DNP, APRN, FNP-C
Nurse Practitioner
NPI 1184213134
623 MEMORIAL AVE N
Allendale, SC 29810
(803) 584-2128
✔ PECOS✔ Accepts Medicare0.3 mi
Gerardo Baldassarri, M.D.
Family Practice
NPI 1275504581
98 NOCATEE VILLAGE DR
Ponte Vedra, FL 32081
(904) 202-4243
✔ PECOS✔ Accepts Medicare200 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 Allendale County Hospital Board's NPI number?

The NPI number for Allendale County Hospital Board is 1164529491. It was assigned to this organization in the NPPES registry on September 20, 2006. The provider is doing business as Laffitte And Warren Medical Center.

Where is Allendale County Hospital Board located?

Allendale County Hospital Board is located at 623 Memorial Ave N, Allendale, SC 29810. The listed phone number is (803) 632-3311.

What is Allendale County Hospital Board's specialty?

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

Is Allendale County Hospital Board enrolled in Medicare?

Yes. Allendale County Hospital Board is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Allendale County Hospital Board?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Allendale County Hospital Board, in 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, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Allendale County Hospital Board 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 Allendale County Hospital Board 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 Allendale County Hospital Board was last updated on May 14, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.