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CCMMA SC LLC
NPI 1245715796
Internal Medicine - Critical Care Medicine in Sumter, SC

Active since October 01, 2018
129 N WASHINGTON ST, SUMTER, SC 29150(803) 774-9000 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 14, 2022, Feb 4, 2022, Oct 1, 2018 (3 updates tracked since 2018).

About Ccmma Sc Llc NPPES

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

CCMMA SC LLC (NPI 1245715796) is a healthcare organization registered as a critical care medicine in Sumter, South Carolina and active in the NPI registry since October 2018. The organization maintains 16 additional practice locations and lists Corey Scurlock, Member, as its authorized official.

NPPES Registry Identity

NPI1245715796
Entity TypeOrganization
Primary Taxonomy207RC0200X
Legal Business NameCCMMA SC LLC
Location Address129 N WASHINGTON STSumter, SC 29150-4949
Mailing AddressPo Box 631797Cincinnati, OH 45263-1797 · (845) 702-2711 · Fax (888) 220-6560
Phone(803) 774-9000
Organization SubpartNo
Authorized OfficialCorey ScurlockMember · (914) 523-2189
Enumeration DateOctober 1, 2018
Last NPPES UpdateApril 28, 20253 updates tracked since enumeration
NPPES CertifiedApril 28, 2025
✔ NPI 1245715796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedAnesthesiology · Critical Care MedicineTaxonomy 207LC0200X
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X
129 N WASHINGTON ST, Sumter, SC 29150
Open in Google Maps ↗

Secondary Practice Locations 16

Location 1120 N Delaware StSandusky, MI 48471-1009 · Phone (810) 648-3770 · Fax (888) 220-6560
Location 2350 BoulevardPassaic, NJ 07055-2840 · Phone (973) 365-4300
Location 3425 W 5th StEast Liverpool, OH 43920-2405 · Phone (330) 385-7200
Location 45315 E Larkspur DrScottsdale, AZ 85254-4227 · Phone (845) 702-2711 · Fax (888) 220-6560
Location 51015 Priory PlMc Lean, VA 22101-2134 · Phone (845) 702-2711 · Fax (888) 220-6560
Location 6120 Leeuwarden RdDarien, CT 06820-3027 · Phone (845) 702-2711 · Fax (888) 220-6560
Location 7625 Gore Range DrSeverance, CO 80550-4869 · Phone (845) 702-2711 · Fax (888) 220-6560
Location 827 Henderson StArlington, MA 02474-5507 · Phone (845) 702-2711 · Fax (888) 220-6560
Location 95605 Poola StHonolulu, HI 96821-1564 · Phone (845) 702-2711 · Fax (888) 220-6560
Location 10386 Acadian CtBiloxi, MS 39531-2900 · Phone (845) 702-2711 · Fax (888) 220-6560
Location 111481 Hollis RdgClarksville, TN 37043-1522 · Phone (845) 702-2711 · Fax (888) 220-6560
Location 12201 NW R D Mize RdBlue Springs, MO 64014-2513 · Phone (816) 228-5900 · Fax (888) 220-6560
Location 13600 S Monroe StEnid, OK 73701-7211 · Phone (580) 233-2300 · Fax (888) 220-6560
Location 1459-351 Lehiwa PlKamuela, HI 96743-8581 · Phone (845) 702-2711 · Fax (888) 220-6560
Location 1510 Nadia S WayFarmington, CT 06032-2860 · Phone (845) 702-2711 · Fax (888) 220-6560
Location 166565 Fannin StHouston, TX 77030-2703 · Phone (713) 790-3311 · Fax (888) 220-6560

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ccmma Sc Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

63

Medicare enrollment records show 63 clinicians reassign Medicare billing to Ccmma Sc LLC, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 12

Critical Care (Intensivists)18
Internal Medicine11
Neurology11
Pulmonary Disease8
Psychiatry3
Cardiovascular Disease (Cardiology)2
Emergency Medicine2
General Surgery2
4 other specialties6

Nearest to this location (20)

See all 63
Dalila Lewis, M.D.
Neurology
NPI 1205985751
171 ASHLEY AVE
Charleston, SC 29425
(843) 792-1414
✔ PECOS82 mi
Jeneen Gifford, M.D.
Critical Care (Intensivists)
NPI 1740340454
1638 OWEN DR
Fayetteville, NC 28304
(910) 615-7392
✔ PECOS✔ Accepts Medicare111 mi
Barbara Joslow, MD
Neurology
NPI 1982669503
743 SPRING ST NE
Gainesville, GA 30501
(770) 219-9000
✔ PECOS201 mi
Badar Siddiqui, M.D.
Critical Care (Intensivists)
NPI 1447679238
400 N STATE OF FRANKLIN RD RM 2746
Johnson City, TN 37604
(423) 431-6111
✔ PECOS✔ Accepts Medicare201 mi
Hetal Brahmbhatt, M.D.
Psychiatry
NPI 1841283199
159 SUN CHASE CT
Johnson City, TN 37615
(423) 767-5444
✔ PECOS✔ Accepts Medicare205 mi
Zakaria Almuwaqqat, M.D
Interventional Cardiology
NPI 1245587765
1468 MONTREAL RD
Tucker, GA 30084
(770) 638-1400
✔ PECOS✔ Accepts Medicare225 mi
Richard Mikilitus, MD
Neurology
NPI 1760461305
524 DIXIE ST
Carrollton, GA 30117
(770) 832-2775
✔ PECOS✔ Accepts Medicare273 mi
Joshua Gautney, MD
Internal Medicine
NPI 1346602752
100 PILOT MEDICAL DR
Birmingham, AL 35235
(205) 854-8084
✔ PECOS✔ Accepts Medicare364 mi
Gretchen Winter
Pulmonary Disease
NPI 1235498049
1717 6TH AVE S
Birmingham, AL 35233
(800) 822-8816
✔ PECOS✔ Accepts Medicare373 mi
Abdullah Alzahrani, MD
Emergency Medicine
NPI 1750681581
2501 N ORANGE AVE STE 401
Orlando, FL 32804
(407) 303-7283
✔ PECOS✔ Accepts Medicare373 mi
Matthew Laporta, DO
General Surgery
NPI 1801102223
1625 N GEORGE MASON DR STE 375
Arlington, VA 22205
(703) 842-4188
✔ PECOS✔ Accepts Medicare386 mi
Payam Pooyan, M.D.
Internal Medicine
NPI 1841254265
19455 DEERFIELD AVE STE 206
Leesburg, VA 20176
(703) 858-9608
✔ PECOS✔ Accepts Medicare389 mi
Dennis Emuron, M.B.CH.B
Hospitalist
NPI 1053604785
10500 MONTGOMERY RD
Montgomery, OH 45242
(513) 865-2246
✔ PECOS✔ Accepts Medicare429 mi
Paul Adjei, M.D.
Infectious Disease
NPI 1497984074
1300 MERRITT DR
Henderson, KY 42420
(812) 450-8600
✔ PECOS✔ Accepts Medicare488 mi
Hill Enuh, MD
Pulmonary Disease
NPI 1841547692
701 E COUNTY LINE RD STE 101
Greenwood, IN 46143
(317) 885-2860
✔ PECOS✔ Accepts Medicare506 mi
Alin Gragossian, D.O.
Emergency Medicine
NPI 1962852301
1 GUTHRIE DR
Corning, NY 14830
(607) 937-7200
✔ PECOS✔ Accepts Medicare593 mi
Andleeb Bangash, MD
Cardiovascular Disease (Cardiology)
NPI 1003093824
901 LINCOLNWAY STE 302
La Porte, IN 46350
(219) 324-0014
✔ PECOS✔ Accepts Medicare634 mi
Tanya Scurry, M.D.
Psychiatry
NPI 1225243009
2160 S 1ST AVE
Maywood, IL 60153
(708) 216-9000
✔ PECOS✔ Accepts Medicare683 mi
Panna Codner, MD
General Surgery
NPI 1356410898
1836 SOUTH AVE
La Crosse, WI 54601
(608) 782-7300
✔ PECOS✔ Accepts Medicare898 mi
James Sullivan, D.O.
Nephrology
NPI 1467560292
5437 KIETZKE LN
Reno, NV 89511
(775) 322-4550
✔ PECOS✔ Accepts Medicare2,206 mi
See all 63 clinicians

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 Ccmma Sc LLC's NPI number?

The NPI number for Ccmma Sc LLC is 1245715796. It was assigned to this organization in the NPPES registry on October 1, 2018.

Where is Ccmma Sc LLC located?

Ccmma Sc LLC is located at 129 N Washington St, Sumter, SC 29150. The listed phone number is (803) 774-9000.

What is Ccmma Sc LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Ccmma Sc LLC enrolled in Medicare?

Yes. Ccmma Sc LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ccmma Sc LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 63 clinicians in 12 Medicare specialties reassign their Medicare billing to Ccmma Sc LLC. 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 Critical Care (Intensivists) (18), Internal Medicine (11) and Neurology (11). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Ccmma Sc LLC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 7 other insurers list Ccmma Sc 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 Ccmma Sc LLC was last updated on April 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.