MUSC CHILDRENS PEDIATRICS MARION MEDICAL PARK
NPI 1164987624
Clinic/Center - Rural Health in Mullins, SC

Active since February 08, 2019
2845 E HIGHWAY 76 STE 4, MULLINS, SC 29574(843) 431-2720 Get Directions Write a Review

NPPES record last updated: November 4, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 4, 2019, Feb 25, 2019, Feb 8, 2019 (3 updates tracked since 2019).

About Musc Childrens Pediatrics Marion Medical Park NPPES

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

MUSC CHILDRENS PEDIATRICS MARION MEDICAL PARK (NPI 1164987624) is a healthcare organization registered as a rural health in Mullins, South Carolina and active in the NPI registry since February 2019. The organization lists Karyn Rae, Director, as its authorized official.

NPPES Registry Identity

NPI1164987624
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameMEDICAL UNIVERSITY HOSPITAL AUTHORITY
Location Address2845 E HIGHWAY 76 STE 4Mullins, SC 29574-6037
Mailing AddressPo Box 936801Atlanta, GA 31193-6801 · (843) 792-2300
Organization SubpartNo
Authorized OfficialKaryn RaeDirector · (843) 876-1344
Enumeration DateFebruary 8, 2019
Last NPPES UpdateNovember 4, 20193 updates tracked since enumeration
✔ NPI 1164987624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedPediatricsTaxonomy 208000000X
2845 E HIGHWAY 76 STE 4, Mullins, SC 29574

Other Names 1

Doing Business AsMusc Childrens Pediatrics Marion Medical Park

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

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)

Musc Childrens Pediatrics Marion Medical Park is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

356

Medicare enrollment records show 356 clinicians reassign Medicare billing to Musc Childrens Pediatrics Marion Medical Park, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 19

Certified Registered Nurse Anesthetist (CRNA)229
Nurse Practitioner42
Registered Dietitian or Nutrition Professional25
Obstetrics/Gynecology12
Clinical Social Worker10
Family Practice10
Anesthesiology Assistant6
Pediatric Medicine6
11 other specialties16

Nearest to this location (20)

See all 356
Pediatric Medicine
NPI 1871507913
2845 E HIGHWAY 76 SUITE 4
Mullins, SC 29574
(843) 431-2720
✔ PECOSSame address
Nurse Practitioner
NPI 1275551301
2845 E HIGHWAY 76 SUITE 4
Mullins, SC 29574
(843) 431-2720
✔ PECOS2.8 mi
Internal Medicine
NPI 1982668745
511 S MAIN ST
Mullins, SC 29574
(843) 464-8244
✔ PECOS✔ Accepts Medicare3.5 mi
Internal Medicine
NPI 1689608002
1205 N MAIN ST
Marion, SC 29571
(843) 423-0760
✔ PECOS✔ Accepts Medicare4.9 mi
Nurse Practitioner
NPI 1851056097
301 E JACKSON ST
Dillon, SC 29536
(843) 487-1160
✔ PECOS✔ Accepts Medicare16 mi
Nurse Practitioner
NPI 1770089823
1594 FREEDOM BLVD STE 102
Florence, SC 29505
(843) 679-4221
✔ PECOS✔ Accepts Medicare25 mi
Nurse Practitioner
NPI 1679926935
1594 FREEDOM BLVD
Florence, SC 29505
(843) 664-9696
✔ PECOS✔ Accepts Medicare25 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1104551787
555 E CHEVES ST
Florence, SC 29506
(843) 777-5621
✔ Accepts Medicare26 mi
Nephrology
NPI 1770572562
255 WARLEY ST
Florence, SC 29501
(843) 669-6694
✔ PECOS✔ Accepts Medicare26 mi
Obstetrics/Gynecology
NPI 1356315212
14508 JAMES B WHITE HWY S
Tabor City, NC 28463
(910) 641-8680
✔ PECOS✔ Accepts Medicare28 mi
Internal Medicine
NPI 1841490869
276 N RON MCNAIR BLVD
Lake City, SC 29560
(843) 394-5471
✔ PECOS✔ Accepts Medicare33 mi
Family Practice
NPI 1700825858
276 N RON MCNAIR BLVD
Lake City, SC 29560
(843) 394-5471
✔ PECOS✔ Accepts Medicare33 mi
Diagnostic Radiology
NPI 1689779662
110 NNPTC CIR
Goose Creek, SC 29445
(843) 792-1414
✔ PECOS✔ Accepts Medicare88 mi
Mental Health Counselor
NPI 1407235765
597 OLD MOUNT HOLLY RD STE 307
Goose Creek, SC 29445
(843) 212-6768
✔ PECOS91 mi
Pediatric Medicine
NPI 1073521605
838 W MEETING ST SUITE B
Lancaster, SC 29720
(803) 285-2700
✔ PECOS92 mi
Neurology
NPI 1801868153
834 W MEETING ST STE G
Lancaster, SC 29720
(803) 285-1111
✔ PECOS✔ Accepts Medicare92 mi
Certified Nurse Midwife (CNM)
NPI 1164301883
834 W MEETING ST BLDG 4
Lancaster, SC 29720
(803) 285-5900
✔ PECOS92 mi
Clinical Social Worker
NPI 1891334025
3301 SALTERBECK ST STE 101
Mount Pleasant, SC 29466
(843) 920-2175
✔ PECOS✔ Accepts Medicare96 mi
Interventional Cardiology
NPI 1780625269
2001 LAUREL ST
Columbia, SC 29204
(803) 254-3278
✔ PECOS✔ Accepts Medicare99 mi
Registered Dietitian or Nutrition Professional
NPI 1235883141
2250 MALL DR
North Charleston, SC 29406
(843) 792-1414
99 mi
See all 356 clinicians

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 Medical University Hospital Authority's NPI number?

The NPI number for Medical University Hospital Authority is 1164987624. It was assigned to this organization in the NPPES registry on February 8, 2019. The provider is doing business as Musc Childrens Pediatrics Marion Medical Park.

Where is Medical University Hospital Authority located?

Medical University Hospital Authority is located at 2845 E Highway 76 Ste 4, Mullins, SC 29574. The listed phone number is (843) 431-2720.

What is Medical University Hospital Authority's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is Medical University Hospital Authority enrolled in Medicare?

Yes. Medical University Hospital Authority is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Medical University Hospital Authority?

According to the CMS Revalidation Reassignment List (October 2026 release), 356 clinicians in 19 Medicare specialties reassign their Medicare billing to Medical University Hospital Authority. 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. The largest specialties are Certified Registered Nurse Anesthetist (CRNA) (229), Nurse Practitioner (42) and Registered Dietitian or Nutrition Professional (25). Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Medical University Hospital Authority accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Molina Healthcare and UnitedHealthcare list Medical University Hospital Authority 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 Medical University Hospital Authority was last updated on November 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.