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NORTH AUGUSTA PEDIATRICS LLC
NPI 1194496745
Clinic/Center - Rural Health in North Augusta, SC

Active since September 23, 2021CLIA 11D0262833 · Waiver
140 ALLEN CT, NORTH AUGUSTA, SC 29860(803) 510-0007(803) 510-0144 Get Directions Write a Review

NPPES record last updated: September 23, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About North Augusta Pediatrics Llc NPPES

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

NORTH AUGUSTA PEDIATRICS LLC (NPI 1194496745) is a healthcare organization registered as a rural health in North Augusta, South Carolina and active in the NPI registry since September 2021. The organization holds a CLIA Waiver certificate valid through September 30, 2027 and lists Katherine Dangerfield, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1194496745
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameNORTH AUGUSTA PEDIATRICS LLC
Location Address140 ALLEN CTNorth Augusta, SC 29860-9782
Mailing Address140 Allen CtNorth Augusta, SC 29860-9782 · (803) 510-0007 · Fax (803) 510-0144
Phone(803) 510-0007
Fax(803) 510-0144
Organization SubpartNo
Authorized OfficialKatherine DangerfieldOffice Manager · (803) 510-0007
Enumeration DateSeptember 23, 2021
NPPES CertifiedSeptember 23, 2021
✔ NPI 1194496745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
140 ALLEN CT, North Augusta, SC 29860
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina.Insurance ›

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 11D0262833

North Augusta Pediatrics, LLC · North Augusta, SC
Active · expires Sep 30, 2027
CLIA Number11D0262833
Laboratory TypePhysician Office
Certificate Effective DateOctober 1, 2025
Certificate Expiration DateSeptember 30, 2027
Laboratory DirectorJohn D. Allen
Laboratory Phone(803) 510-0007
Laboratory LocationNorth Augusta Pediatrics, LLC140 Allen Court, North Augusta, SC 29860
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHAENA VICTORIA WAGGONER FNP
Nurse Practitioner (Family)
140 ALLEN CT
NORTH AUGUSTA, SC 29860
Edgefield County (803) 510-0007
DR. VICTORIA SEIGLER NEWSOME MD
Pediatrics
140 ALLEN CT
NORTH AUGUSTA, SC 29860
Edgefield County (803) 510-0007
MRS. SARA J KING
Nurse Practitioner (Pediatrics)
140 ALLEN CT
NORTH AUGUSTA, SC 29860
Edgefield County (803) 510-0007
DR. ASHLEY ELIZABETH MILLER DO
Pediatrics
140 ALLEN CT
NORTH AUGUSTA, SC 29860
Edgefield County (803) 510-0007
KALEI THOMPSON
Registered Nurse
140 ALLEN CT
NORTH AUGUSTA, SC 29860
Edgefield County (803) 510-0007
KAYLEY BRIANNA CROOMS MCGOWAN PNP
Nurse Practitioner (Pediatrics)
140 ALLEN CT
NORTH AUGUSTA, SC 29860
Edgefield County (803) 510-0007
SAMANTHA GRACE MILLER
Nurse Practitioner (Pediatrics)
140 ALLEN CT
NORTH AUGUSTA, SC 29860
Edgefield County (803) 510-0007
SAMANTHA ZOLTAK PA
Physician Assistant
140 ALLEN CT
NORTH AUGUSTA, SC 29860
Edgefield County (803) 510-0007

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 North Augusta Pediatrics LLC's NPI number?

The NPI number for North Augusta Pediatrics LLC is 1194496745. It was assigned to this organization in the NPPES registry on September 23, 2021.

Where is North Augusta Pediatrics LLC located?

North Augusta Pediatrics LLC is located at 140 Allen Ct, North Augusta, SC 29860. The listed phone number is (803) 510-0007.

What is North Augusta Pediatrics LLC's specialty?

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

Does North Augusta Pediatrics LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0262833) is associated with this NPI, valid through September 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does North Augusta Pediatrics LLC accept?

Health plans from BlueCross BlueShield of South Carolina list North Augusta Pediatrics 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 North Augusta Pediatrics LLC was last updated on September 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.