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CAROLINA PEDIATRICS & ADOLESCENT CARE, PA
NPI 1306805056
Pediatrics in Columbia, SC

Active since March 21, 2006CLIA 42D0249288 · Waiver
2113 ADAMS GRV, SUITE 101, COLUMBIA, SC 29203(803) 256-0531(803) 765-9052 Get Directions Write a Review

NPPES record last updated: October 13, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carolina Pediatrics & Adolescent Care, Pa NPPES

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

CAROLINA PEDIATRICS & ADOLESCENT CARE, PA (NPI 1306805056) is a healthcare organization registered as a pediatrics in Columbia, South Carolina and active in the NPI registry since March 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Philip F. Mubarak, Physician, as its authorized official.

NPPES Registry Identity

NPI1306805056
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameCAROLINA PEDIATRICS & ADOLESCENT CARE, PA
Location Address2113 ADAMS GRV, SUITE 101Columbia, SC 29203-7102
Mailing Address2113 Adams Grv, Suite 101Columbia, SC 29203-6951 · (803) 256-0531 · Fax (803) 765-9052
Phone(803) 256-0531
Fax(803) 765-9052
Organization SubpartNo
Authorized OfficialPhilip F. MubarakPhysician · (803) 256-0531
Enumeration DateMarch 21, 2006
Last NPPES UpdateOctober 13, 2017
✔ NPI 1306805056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in SC · 12782
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
2113 ADAMS GRV, Columbia, SC 29203
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Other Identifiers 8

Medicare UPINI07170SC
Medicare UPINI15359SC
Medicare UPINH69100SC
Medicare UPINF84862SC
Medicare UPINB91342SC
MedicaidGP0094SC
Medicare UPINA53452SC
Medicare UPINI15358SC

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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina.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 42D0249288

Carolina Pediatrics PA · Columbia, SC
Active · expires Aug 31, 2026
CLIA Number42D0249288
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorPhilip Mubarak MD
Laboratory Phone(803) 256-0536
Laboratory LocationCarolina Pediatrics PA2113 Adams Grove Road, Columbia, SC 29203
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 19

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

CAROLINE HILL MSP, CCC-SLP
Speech-Language Pathologist
2113 ADAMS GRV
COLUMBIA, SC 29203
Richland County (803) 767-4832
PALMETTO PED GASTRO AND NUT
Registered Nurse (Gastroenterology)
2113 ADAMS GRV, SUITE 200
COLUMBIA, SC 29203
Richland County (803) 254-1006
MISTI SMITH LPC
Counselor (Professional)
2113 ADAMS GRV, SUITE 110
COLUMBIA, SC 29203
Richland County (803) 256-1737
PHILIP F MUBARAK MD
Pediatrics
2113 ADAMS GRV, SUITE 101
COLUMBIA, SC 29203
Richland County (803) 256-0531
TOUMA AND ASSOCIATES
Counselor (Professional)
2113 ADAMS GRV
COLUMBIA, SC 29203
Richland County (803) 256-1737
JOHN KHOURY MD
Pediatrics (Adolescent Medicine)
2113 ADAMS GRV, SUITE 110
COLUMBIA, SC 29203
Richland County (803) 261-6471
DR. KYLLAN JOHNSON HUTCHINSON MD
Pediatrics
2113 ADAMS GRV, SUITE 101
COLUMBIA, SC 29203
Richland County (803) 256-0531
MARY ANN FEY LPC
Counselor (Professional)
2113 ADAMS GRV
COLUMBIA, SC 29203
Richland County (803) 256-1737

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 Carolina Pediatrics & Adolescent Care, PA's NPI number?

The NPI number for Carolina Pediatrics & Adolescent Care, PA is 1306805056. It was assigned to this organization in the NPPES registry on March 21, 2006.

Where is Carolina Pediatrics & Adolescent Care, PA located?

Carolina Pediatrics & Adolescent Care, PA is located at 2113 Adams Grv Suite 101, Columbia, SC 29203. The listed phone number is (803) 256-0531.

What is Carolina Pediatrics & Adolescent Care, PA's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Carolina Pediatrics & Adolescent Care, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D0249288) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Carolina Pediatrics & Adolescent Care, PA accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and BlueCross BlueShield of South Carolina list Carolina Pediatrics & Adolescent Care, PA 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 Carolina Pediatrics & Adolescent Care, PA was last updated on October 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.