CARESOUTH CAROLINA, INC
NPI 1255762936
Clinic/Center - Federally Qualified Health Center (FQHC) in Dillon, SC

Active since December 06, 2013CLIA 42D2070225 · Waiver
1016 OLD LATTA HWY, DILLON, SC 29536(843) 774-4337 Get Directions Write a Review

NPPES record last updated: June 9, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Caresouth Carolina, Inc NPPES

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

CARESOUTH CAROLINA, INC (NPI 1255762936) is a healthcare organization registered as a federally qualified health center (fqhc) in Dillon, South Carolina and active in the NPI registry since December 2013. The organization holds a CLIA Waiver certificate valid through December 10, 2027 and lists Ann M Lewis, Ceo, as its authorized official.

NPPES Registry Identity

NPI1255762936
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCARESOUTH CAROLINA, INC
Location Address1016 OLD LATTA HWYDillon, SC 29536-2557
Mailing AddressPo Box 1090Hartsville, SC 29551-1090 · (843) 857-0111
Organization SubpartNo
Authorized OfficialAnn M LewisCeo · (843) 857-0111
Enumeration DateDecember 6, 2013
Last NPPES UpdateJune 9, 2022
NPPES CertifiedJune 1, 2022
NPI 1255762936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
1016 OLD LATTA HWY, Dillon, SC 29536

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 42D2070225

Caresouth Carolina Inc- Dillion · Dillon, SC
Active · expires Dec 10, 2027
CLIA Number42D2070225
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateDecember 11, 2025
Certificate Expiration DateDecember 10, 2027
Laboratory DirectorRandall M. Carlyle
Laboratory Phone(843) 774-4337
Laboratory LocationCaresouth Carolina Inc- Dillion1016 Old Latta Hwy, Dillon, SC 29536
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 8

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

Social Worker (Clinical)
1016 OLD LATTA HWY
DILLON, SC 29536
Public Health or Welfare
1016 OLD LATTA HWY
DILLON, SC 29536
Nurse Practitioner (Family)
1016 OLD LATTA HWY
DILLON, SC 29536
Pharmacist
1016 OLD LATTA HWY
DILLON, SC 29536
Registered Nurse (Infection Control)
1016 OLD LATTA HWY
DILLON, SC 29536
Internal Medicine
1016 OLD LATTA HWY
DILLON, SC 29536
Pharmacy (Community/Retail Pharmacy)
1016 OLD LATTA HWY
DILLON, SC 29536
Nurse Practitioner (Family)
1016 OLD LATTA HWY
DILLON, SC 29536

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 Caresouth Carolina, Inc's NPI number?

The NPI number for Caresouth Carolina, Inc is 1255762936. It was assigned to this organization in the NPPES registry on December 6, 2013.

Where is Caresouth Carolina, Inc located?

Caresouth Carolina, Inc is located at 1016 Old Latta Hwy, Dillon, SC 29536. The listed phone number is (843) 774-4337.

What is Caresouth Carolina, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Caresouth Carolina, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2070225) is associated with this NPI, valid through December 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Caresouth Carolina, Inc accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and InStil Health and 1 other insurer list Caresouth Carolina, Inc 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 Caresouth Carolina, Inc was last updated on June 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.