KID CARE PEDIATRIC URGENT CARE, LLC
NPI 1255039707
Clinic/Center - Urgent Care in Conway, SC

Active since February 22, 2023CLIA 42D2277320 · Waiver
212 MAIN ST STE A, CONWAY, SC 29526(843) 340-2672 Get Directions Write a Review

NPPES record last updated: November 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 19, 2025, Dec 18, 2024, Feb 22, 2023 (3 updates tracked since 2023).

About Kid Care Pediatric Urgent Care, Llc NPPES

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

KID CARE PEDIATRIC URGENT CARE, LLC (NPI 1255039707) is a healthcare organization registered as an urgent care in Conway, South Carolina and active in the NPI registry since February 2023. The organization holds a CLIA Waiver certificate valid through February 23, 2027, maintains a secondary practice location in Myrtle Beach, and lists Summer Watts, Fnp, as its authorized official.

NPPES Registry Identity

NPI1255039707
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameKID CARE PEDIATRIC URGENT CARE, LLC
Location Address212 MAIN ST STE AConway, SC 29526-5129
Mailing Address212 Main St Ste AConway, SC 29526-5129 · (843) 488-7337 · Fax (843) 488-7338
Organization SubpartNo
Authorized OfficialSummer WattsFnp · (843) 340-2672
Enumeration DateFebruary 22, 2023
Last NPPES UpdateNovember 19, 20253 updates tracked since enumeration
NPPES CertifiedNovember 19, 2025
NPI 1255039707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
212 MAIN ST STE A, Conway, SC 29526

Secondary Practice Location 1

Location 1235 Village Center Blvd Unit 2Myrtle Beach, SC 29579-6772 · Phone (843) 488-7337 · Fax (843) 488-7338

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

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 42D2277320

Kid Care Pediatric Urgent Care, LLC · Conway, SC
Active · expires Feb 23, 2027
CLIA Number42D2277320
Laboratory TypeLocation Pediatric Urgent
Certificate Effective DateFebruary 24, 2025
Certificate Expiration DateFebruary 23, 2027
Laboratory DirectorSummer N. Watts
Laboratory Phone(843) 340-2672
Laboratory LocationKid Care Pediatric Urgent Care, LLC212 Main Street, Suite A, Conway, SC 29526
CLIA data matches this NPI record on: Address Name 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 Kid Care Pediatric Urgent Care, LLC's NPI number?

The NPI number for Kid Care Pediatric Urgent Care, LLC is 1255039707. It was assigned to this organization in the NPPES registry on February 22, 2023.

Where is Kid Care Pediatric Urgent Care, LLC located?

Kid Care Pediatric Urgent Care, LLC is located at 212 Main St Ste A, Conway, SC 29526. The listed phone number is (843) 340-2672.

What is Kid Care Pediatric Urgent Care, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Does Kid Care Pediatric Urgent Care, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2277320) is associated with this NPI, valid through February 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kid Care Pediatric Urgent Care, LLC accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and Molina Healthcare list Kid Care Pediatric Urgent Care, 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 Kid Care Pediatric Urgent Care, LLC was last updated on November 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.