ELM PEDIATRICS, LLC
NPI 1255009163
Clinic/Center - Primary Care in Lake City, SC

Active since September 03, 2021CLIA 42D2250675 · Waiver
800 W MAIN ST, LAKE CITY, SC 29560(843) 977-7337(843) 956-5415 Get Directions Write a Review

NPPES record last updated: August 16, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 16, 2023, May 4, 2023, May 13, 2022 and 2 more (5 updates tracked since 2021).

About Elm Pediatrics, Llc NPPES

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

ELM PEDIATRICS, LLC (NPI 1255009163) is a healthcare organization registered as a primary care in Lake City, South Carolina and active in the NPI registry since September 2021. The organization holds a CLIA Waiver certificate valid through January 27, 2028 and lists Heather Brown, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1255009163
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameELM PEDIATRICS, LLC
Location Address800 W MAIN STLake City, SC 29560-4400
Mailing Address800 W Main StLake City, SC 29560-4400 · (843) 977-7337 · Fax (843) 956-5415
Fax(843) 956-5415
Organization SubpartNo
Authorized OfficialHeather BrownPractice Administrator · (843) 977-7337
Enumeration DateSeptember 3, 2021
Last NPPES UpdateAugust 16, 20235 updates tracked since enumeration
NPPES CertifiedAugust 16, 2023
NPI 1255009163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X
800 W MAIN ST, Lake City, SC 29560

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

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 42D2250675

Elm Pediatrics · Lake City, SC
Active · expires Jan 27, 2028
CLIA Number42D2250675
Laboratory TypePhysician Office
Certificate Effective DateJanuary 28, 2026
Certificate Expiration DateJanuary 27, 2028
Laboratory DirectorErin M. Lewis
Laboratory Phone(843) 977-7337
Laboratory LocationElm Pediatrics800 West Main Street, Lake City, SC 29560
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 6

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

Pediatrics
800 W MAIN ST
LAKE CITY, SC 29560
Clinic/Center (Rural Health)
800 W MAIN ST
LAKE CITY, SC 29560
Nurse Practitioner (Family)
800 W MAIN ST
LAKE CITY, SC 29560
Nurse Practitioner (Pediatrics)
800 W MAIN ST
LAKE CITY, SC 29560
Nurse Practitioner (Family)
800 W MAIN ST
LAKE CITY, SC 29560
Nurse Practitioner (Family)
800 W MAIN ST
LAKE CITY, SC 29560

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 Elm Pediatrics, LLC's NPI number?

The NPI number for Elm Pediatrics, LLC is 1255009163. It was assigned to this organization in the NPPES registry on September 3, 2021.

Where is Elm Pediatrics, LLC located?

Elm Pediatrics, LLC is located at 800 W Main St, Lake City, SC 29560. The listed phone number is (843) 977-7337.

What is Elm Pediatrics, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Elm Pediatrics, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2250675) is associated with this NPI, valid through January 27, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Elm Pediatrics, LLC accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and Molina Healthcare list Elm 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 Elm Pediatrics, LLC was last updated on August 16, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.