LONGEVITY CLINICAL LTC ASSOCIATES OF SOUTH CAROLINA, PC
NPI 1184317984
Family Medicine in Anderson, SC
About Longevity Clinical Ltc Associates Of South Carolina, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LONGEVITY CLINICAL LTC ASSOCIATES OF SOUTH CAROLINA, PC (NPI 1184317984) is a healthcare organization registered as a family medicine in Anderson, South Carolina and active in the NPI registry since May 2023. The organization lists Diane L Vincur, Lwc Practice Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Longevity Clinical Ltc Associates Of South Carolina, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
12Medicare enrollment records show 12 clinicians reassign Medicare billing to Longevity Clinical Ltc Associates Of South Carolina, PC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (12)
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 Longevity Clinical Ltc Associates Of South Carolina, PC's NPI number?
The NPI number for Longevity Clinical Ltc Associates Of South Carolina, PC is 1184317984. It was assigned to this organization in the NPPES registry on May 30, 2023.
Where is Longevity Clinical Ltc Associates Of South Carolina, PC located?
Longevity Clinical Ltc Associates Of South Carolina, PC is located at 611 E Hampton St, Anderson, SC 29624. The listed phone number is (864) 226-5054.
What is Longevity Clinical Ltc Associates Of South Carolina, PC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Longevity Clinical Ltc Associates Of South Carolina, PC enrolled in Medicare?
Yes. Longevity Clinical Ltc Associates Of South Carolina, PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Longevity Clinical Ltc Associates Of South Carolina, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 2 Medicare specialties reassign their Medicare billing to Longevity Clinical Ltc Associates Of South Carolina, PC. 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 Nurse Practitioner (11) and Family Practice (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Longevity Clinical Ltc Associates Of South Carolina, PC was last updated on May 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Longevity Clinical Ltc Associates Of South Carolina, Pc · NPI 1184317984
Family Medicine organization in Anderson, South Carolina. Organization record, active in the CMS NPPES registry since May 30, 2023.
## Identity
- **NPI:** 1184317984 (Entity type: Organization)
- **Enumerated:** May 30, 2023
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Diane Vincur, LWC PRACTICE MANAGER
## Practice location
- **Address:** 611 E HAMPTON ST, Anderson, SC 29624-2814
- **Phone:** (864) 226-5054
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 12 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (11), Family Practice (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 30, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1184317984) · Data from the CMS NPPES public registry.