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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: July 26, 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 1201 NW R D Mize RdBlue Springs, MO 64014-2513 · Phone (816) 228-5900 · Fax (888) 220-6560
Location 21481 Hollis RdgClarksville, TN 37043-1522 · Phone (845) 702-2711 · Fax (888) 220-6560
Location 3386 Acadian CtBiloxi, MS 39531-2900 · Phone (845) 702-2711 · Fax (888) 220-6560
Location 45605 Poola StHonolulu, HI 96821-1564 · Phone (845) 702-2711 · Fax (888) 220-6560
Location 5120 N Delaware StSandusky, MI 48471-1009 · Phone (810) 648-3770 · Fax (888) 220-6560
Location 6350 BoulevardPassaic, NJ 07055-2840 · Phone (973) 365-4300
Location 727 Henderson StArlington, MA 02474-5507 · Phone (845) 702-2711 · Fax (888) 220-6560
Location 8625 Gore Range DrSeverance, CO 80550-4869 · Phone (845) 702-2711 · Fax (888) 220-6560
Location 9425 W 5th StEast Liverpool, OH 43920-2498 · Phone (330) 385-7200 · Fax (888) 220-6560
Location 106565 Fannin StHouston, TX 77030-2703 · Phone (713) 790-3311 · Fax (888) 220-6560
Location 1159-351 Lehiwa PlKamuela, HI 96743-8581 · Phone (845) 702-2711 · Fax (888) 220-6560
Location 12600 S Monroe StEnid, OK 73701-7211 · Phone (580) 233-2300 · Fax (888) 220-6560
Location 13120 Leeuwarden RdDarien, CT 06820-3027 · Phone (845) 702-2711 · Fax (888) 220-6560
Location 141015 Priory PlMc Lean, VA 22101-2134 · Phone (845) 702-2711 · Fax (888) 220-6560
Location 155315 E Larkspur DrScottsdale, AZ 85254-4227 · Phone (845) 702-2711 · Fax (888) 220-6560
Location 1610 Nadia S WayFarmington, CT 06032-2860 · Phone (845) 702-2711 · 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 Anthem Blue Cross and Blue Shield, Blue Care Network of Michigan, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Other Providers at the Same Location NPPES 20

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

DR. TERRY ANTHONY GODFREY M.D.
Hospitalist
129 N WASHINGTON ST
SUMTER, SC 29150
Sumter County (803) 774-9680
MR. JOHNNY RAYMON CHAPPELL CRNA
Nurse Anesthetist, Certified Registered
129 N WASHINGTON ST
SUMTER, SC 29150
Sumter County (803) 778-9500
DR. GARRETT M CLANTON II MD
Emergency Medicine
129 N WASHINGTON ST
SUMTER, SC 29150
Sumter County (803) 774-9111
GOPALBHAI KANIJIBHAI VAGHELA MD
Hospitalist
129 N WASHINGTON ST
SUMTER, SC 29150
Sumter County (803) 774-9680
FRITZ E JEAN GILLES M.D.
Internal Medicine
129 N WASHINGTON ST
SUMTER, SC 29150
Sumter County (803) 774-9680
TUOMEY
Emergency Medicine
129 N WASHINGTON ST
SUMTER, SC 29150
Sumter County (803) 774-5279
TUOMEY
General Acute Care Hospital
129 N WASHINGTON ST
SUMTER, SC 29150
Sumter County (803) 774-9000
CHAYE HERTZEL MD
Family Medicine
129 N WASHINGTON ST
SUMTER, SC 29150
Sumter County (803) 774-9680

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.

What insurance does Ccmma Sc LLC accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Care Network of Michigan, Blue Cross and Blue Shield of Oklahoma, Molina Healthcare and Premera Blue Cross Blue Shield of Alaska 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 with the weekly NPPES data releases published by CMS.