WALMART CARE CLINIC 10-0630
NPI 1205241759
Nurse Practitioner in Florence, SC
About Walmart Care Clinic 10-0630 NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WALMART CARE CLINIC 10-0630 (NPI 1205241759) is a healthcare organization registered as a nurse practitioner in Florence, South Carolina and active in the NPI registry since June 2014. The organization lists Laura Levine, Director Of Healthcare Contracting, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
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)
Walmart Care Clinic 10-0630 is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
13Medicare enrollment records show 13 clinicians reassign Medicare billing to Walmart Care Clinic 10-0630, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (13)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Medical Equipment Supplier Medicare DMEPOS 11
Medicare supplier enrollment and the product categories Wal-Mart Pharmacy 10-0630 carries, from the Medicare DMEPOS supplier directory.
Wal-Mart Pharmacy 10-0630
DMEPOS supplier · Florence, SCOperated by Wal-Mart Stores East, LPDoes not accept Medicare assignment
Wal-Mart Pharmacy 10-0630 has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.
Medicare Product Categories
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 Wal-Mart Stores East, LP's NPI number?
The NPI number for Wal-Mart Stores East, LP is 1205241759. It was assigned to this organization in the NPPES registry on June 24, 2014. The provider is also known as Walmart Care Clinic 10-0630.
Where is Wal-Mart Stores East, LP located?
Wal-Mart Stores East, LP is located at 230 N Beltline Dr, Florence, SC 29501. The listed phone number is (843) 773-3016.
What is Wal-Mart Stores East, LP's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Wal-Mart Stores East, LP enrolled in Medicare?
Yes. Wal-Mart Stores East, LP is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Wal-Mart Stores East, LP?
According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Wal-Mart Stores East, LP. 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, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Wal-Mart Stores East, LP accept Medicare assignment for medical equipment?
No. As a Medicare medical equipment supplier, Wal-Mart Pharmacy 10-0630 does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.
When was this NPI record last updated?
The NPPES record for Wal-Mart Stores East, LP was last updated on February 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Walmart Care Clinic 10-0630 · NPI 1205241759
Nurse Practitioner organization in Florence, South Carolina. Organization record, active in the CMS NPPES registry since June 24, 2014.
## Identity
- **NPI:** 1205241759 (Entity type: Organization)
- **Enumerated:** June 24, 2014
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **Legal business name:** Wal-Mart Stores East, Lp
- **Organization subpart:** Yes (part of Wal-Mart Stores, Inc.)
- **Authorized official:** Laura Levine, DIRECTOR OF HEALTHCARE CONTRACTING
## Practice location
- **Address:** 230 N BELTLINE DR, Florence, SC 29501-7403
- **Phone:** (843) 773-3016 · **Fax:** (843) 679-9694
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 13 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 19, 2015
- **Other identifiers:** Other D953 (SC); Medicaid GP6499 (SC)
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Source: [NPI Profile](https://npiprofile.com/npi/1205241759) · Data from the CMS NPPES public registry.