CAROLINA BEHAVIORAL HEALTHCARE LLC
NPI 1174045710
Nurse Practitioner - Acute Care in Kershaw, SC
About Carolina Behavioral Healthcare Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CAROLINA BEHAVIORAL HEALTHCARE LLC (NPI 1174045710) is a healthcare organization registered as an acute care in Kershaw, South Carolina and active in the NPI registry since July 2017. The organization holds a CLIA Waiver certificate valid through February 21, 2027 and lists Sheresa Blackmon Catoe, Aprn, 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)
Carolina Behavioral Healthcare Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Carolina Behavioral Healthcare LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
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 42D2214399
Carolina Behavioral Healthcare, LLC · Kershaw, 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 Carolina Behavioral Healthcare LLC's NPI number?
The NPI number for Carolina Behavioral Healthcare LLC is 1174045710. It was assigned to this organization in the NPPES registry on July 14, 2017.
Where is Carolina Behavioral Healthcare LLC located?
Carolina Behavioral Healthcare LLC is located at 505 Woodland Dr, Kershaw, SC 29067. The listed phone number is (803) 283-7465.
What is Carolina Behavioral Healthcare LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Carolina Behavioral Healthcare LLC enrolled in Medicare?
Yes. Carolina Behavioral Healthcare LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Carolina Behavioral Healthcare LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Carolina Behavioral Healthcare 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. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Carolina Behavioral Healthcare LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 42D2214399) is associated with this NPI, valid through February 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Carolina Behavioral Healthcare LLC accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care and Ambetter of North Carolina list Carolina Behavioral Healthcare 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 Carolina Behavioral Healthcare LLC was last updated on June 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Carolina Behavioral Healthcare Llc · NPI 1174045710
Acute Care organization in Kershaw, South Carolina. Organization record, active in the CMS NPPES registry since July 14, 2017.
## Identity
- **NPI:** 1174045710 (Entity type: Organization)
- **Enumerated:** July 14, 2017
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **Organization subpart:** No
- **Authorized official:** Sheresa Catoe, APRN
## Practice location
- **Address:** 505 WOODLAND DR, Kershaw, SC 29067-1704
- **Phone:** (803) 283-7465
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 16, 2018
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1174045710) · Data from the CMS NPPES public registry.