DUE WEST FAMILY MEDICINE PA
NPI 1265508550
Clinic/Center - Rural Health in Due West, SC

Active since November 28, 2006CLIA 42D0676629 · Accreditation
6 COLLEGE ST, DUE WEST, SC 29639(864) 379-2345(864) 379-3228 Get Directions Write a Review

NPPES record last updated: January 17, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Due West Family Medicine Pa NPPES

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

DUE WEST FAMILY MEDICINE PA (NPI 1265508550) is a healthcare organization registered as a rural health in Due West, South Carolina and active in the NPI registry since November 2006. The organization holds an CLIA Accreditation certificate valid through June 17, 2028 and lists Brian Nelson Henry, Owner, as its authorized official.

NPPES Registry Identity

NPI1265508550
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameDUE WEST FAMILY MEDICINE PA
Location Address6 COLLEGE STDue West, SC 29639
Mailing AddressPo Box 638Due West, SC 29639-0638 · (864) 379-2345 · Fax (864) 379-3228
Fax(864) 379-3228
Organization SubpartNo
Authorized OfficialBrian Nelson HenryOwner · (864) 379-2345
Enumeration DateNovember 28, 2006
Last NPPES UpdateJanuary 17, 2013
NPI 1265508550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
6 COLLEGE ST, Due West, SC 29639

Other Identifiers 2

MedicaidRHC074SC
Medicare OSCAR/certification428905SC

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 Accreditation 42D0676629

Due West Family Medicine · Due West, SC
Active · expires Jun 17, 2028
CLIA Number42D0676629
Laboratory TypeRural Health Clinic
Certificate Effective DateJune 18, 2026
Certificate Expiration DateJune 17, 2028
Laboratory DirectorDr. Douglas T. Moore III
Laboratory Phone(864) 379-2345
Laboratory LocationDue West Family Medicine6 College Street Pob 638, Due West, SC 29639
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 9

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

Nurse Practitioner (Family)
6 COLLEGE ST
DUE WEST, SC 29639
Family Medicine
6 COLLEGE ST
DUE WEST, SC 29639
Nurse Practitioner (Family)
6 COLLEGE ST
DUE WEST, SC 29639
Nurse Practitioner (Family)
6 COLLEGE ST
DUE WEST, SC 29639
Clinic/Center (Rural Health)
6 COLLEGE ST
DUE WEST, SC 29639
Family Medicine
6 COLLEGE ST
DUE WEST, SC 29639
Family Medicine (Adult Medicine)
6 COLLEGE ST
DUE WEST, SC 29639
Family Medicine
6 COLLEGE ST
DUE WEST, SC 29639

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 Due West Family Medicine PA's NPI number?

The NPI number for Due West Family Medicine PA is 1265508550. It was assigned to this organization in the NPPES registry on November 28, 2006.

Where is Due West Family Medicine PA located?

Due West Family Medicine PA is located at 6 College St, Due West, SC 29639. The listed phone number is (864) 379-2345.

What is Due West Family Medicine PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Due West Family Medicine PA hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 42D0676629) is associated with this NPI, valid through June 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Due West Family Medicine PA was last updated on January 17, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.