LOWCOUNTRY CENTER FOR DIABETES & ENDOCRINOLOGY PA
NPI 1215106794
Specialist in Walterboro, SC

Active since February 28, 2008
16 NORTHSIDE DR., WALTERBORO, SC 29488(843) 538-8585(843) 538-4777 Get Directions Write a Review

NPPES record last updated: April 9, 2015. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Lowcountry Center For Diabetes & Endocrinology Pa NPPES

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

LOWCOUNTRY CENTER FOR DIABETES & ENDOCRINOLOGY PA (NPI 1215106794) is a healthcare organization registered as a specialist in Walterboro, South Carolina and active in the NPI registry since February 2008. The organization lists Ola S. Boland, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1215106794
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameLOWCOUNTRY CENTER FOR DIABETES & ENDOCRINOLOGY PA
Location Address16 NORTHSIDE DR.Walterboro, SC 29488
Mailing Address16 Northside Dr.Walterboro, SC 29488 · (843) 538-8585 · Fax (843) 538-4777
Fax(843) 538-4777
Organization SubpartNo
Authorized OfficialOla S. BolandOffice Manager · (843) 538-8585
Enumeration DateFebruary 28, 2008
Last NPPES UpdateApril 9, 2015
✔ NPI 1215106794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in SC · 20023
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
16 NORTHSIDE DR., Walterboro, SC 29488

Other Identifiers 3

Other460002249SC · Railroad Medicare
Medicare UPING418430281SC
MedicaidGP2198SC

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lowcountry Center For Diabetes & Endocrinology Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Lowcountry Center For Diabetes & Endocrinology PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Endocrinology
NPI 1477591162
830 ROBERTSON BLVD
Walterboro, SC 29488
(843) 781-7428
✔ PECOS✔ Accepts Medicare1.1 mi

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 42D0952228

Lowcountry Center For Diabetes And Endocrinology · Walterboro, SC
Expired · Oct 6, 2026
CLIA Number42D0952228
Laboratory TypePhysician Office
Certificate Effective DateOctober 7, 2024
Certificate Expiration DateOctober 6, 2026
Laboratory DirectorVonda G. Calcutt M D
Laboratory Phone(843) 538-8585
Laboratory LocationLowcountry Center For Diabetes And Endocrinology16 Northside Drive, Walterboro, SC 29488
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only 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 Lowcountry Center For Diabetes & Endocrinology PA's NPI number?

The NPI number for Lowcountry Center For Diabetes & Endocrinology PA is 1215106794. It was assigned to this organization in the NPPES registry on February 28, 2008.

Where is Lowcountry Center For Diabetes & Endocrinology PA located?

Lowcountry Center For Diabetes & Endocrinology PA is located at 16 Northside Dr., Walterboro, SC 29488. The listed phone number is (843) 538-8585.

What is Lowcountry Center For Diabetes & Endocrinology PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Lowcountry Center For Diabetes & Endocrinology PA enrolled in Medicare?

Yes. Lowcountry Center For Diabetes & Endocrinology PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lowcountry Center For Diabetes & Endocrinology PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Endocrinology) reassigns their Medicare billing to Lowcountry Center For Diabetes & Endocrinology PA. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Lowcountry Center For Diabetes & Endocrinology PA was last updated on April 9, 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.