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CARESOUTH CAROLINA INC
NPI 1174833511
Clinic/Center - Federally Qualified Health Center (FQHC) in Society Hill, SC

Active since October 19, 2010CLIA Certified · 2 labs
737 S MAIN STREET, SOCIETY HILL, SC 29593(843) 378-4501(843) 378-4209 Get Directions Write a Review

NPPES record last updated: March 20, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Caresouth Carolina Inc NPPES

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

CARESOUTH CAROLINA INC (NPI 1174833511) is a healthcare organization registered as a federally qualified health center (fqhc) in Society Hill, South Carolina and active in the NPI registry since October 2010. The organization holds 2 active CLIA laboratory certificates and lists Ann Lewis, Ceo, as its authorized official.

NPPES Registry Identity

NPI1174833511
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCARESOUTH CAROLINA INC
Location Address737 S MAIN STREETSociety Hill, SC 29593
Mailing Address201 South Fifth StHartsville, SC 29550 · (843) 857-0111 · Fax (843) 857-0150
Phone(843) 378-4501
Fax(843) 378-4209
Organization SubpartNo
Authorized OfficialAnn LewisCeo · (843) 857-0111
Enumeration DateOctober 19, 2010
Last NPPES UpdateMarch 20, 2017
✔ NPI 1174833511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedDentistTaxonomy 122300000X
737 S MAIN STREET, Society Hill, SC 29593
Open in Google Maps ↗

Other Identifiers 1

MedicaidZA9329SC

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 BlueCross BlueShield of South Carolina, InStil Health.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

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 42D0252171

Caresouth Carolina Inc-Rosa Lee Gerald Center · Society Hill, SC
Active · expires Dec 22, 2027
CLIA Number42D0252171
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateDecember 23, 2025
Certificate Expiration DateDecember 22, 2027
Laboratory DirectorRandall M. Carlyle
Laboratory Phone(843) 378-4501
Laboratory LocationCaresouth Carolina Inc-Rosa Lee Gerald Center737 South Main Street, Society Hill, SC 29593
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 42D0875467

Caresouth Carolina Cheraw · Cheraw, SC
Active · expires Jan 1, 2027
CLIA Number42D0875467
Laboratory TypePhysician Office
Certificate Effective DateJanuary 2, 2025
Certificate Expiration DateJanuary 1, 2027
Laboratory DirectorRandall M. Carlyle
Laboratory Phone(843) 378-4501
Laboratory LocationCaresouth Carolina Cheraw812 State Road, Cheraw, SC 29520
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Caresouth Carolina Inc's NPI number?

The NPI number for Caresouth Carolina Inc is 1174833511. It was assigned to this organization in the NPPES registry on October 19, 2010.

Where is Caresouth Carolina Inc located?

Caresouth Carolina Inc is located at 737 S Main Street, Society Hill, SC 29593. The listed phone number is (843) 378-4501.

What is Caresouth Carolina Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Caresouth Carolina Inc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Caresouth Carolina Inc accept?

Health plans from BlueCross BlueShield of South Carolina and InStil Health list Caresouth Carolina Inc 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 Caresouth Carolina Inc was last updated on March 20, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.