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GEORGETOWN PEDIATRIC CENTER
NPI 1316345846
Clinic/Center - Federally Qualified Health Center (FQHC) in Georgetown, SC

Active since December 16, 2014CLIA Certified · 2 labs
57 JESSAMINE AVE, GEORGETOWN, SC 29440(843) 887-3274(843) 887-3274 Get Directions Write a Review

NPPES record last updated: June 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Georgetown Pediatric Center NPPES

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

GEORGETOWN PEDIATRIC CENTER (NPI 1316345846) is a healthcare organization registered as a federally qualified health center (fqhc) in Georgetown, South Carolina and active in the NPI registry since December 2014. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Mc Clellanville, and lists Sandra D Gilliard, Ceo, as its authorized official.

NPPES Registry Identity

NPI1316345846
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameST. JAMES HEALTH AND WELLNESS INC.
Location Address57 JESSAMINE AVEGeorgetown, SC 29440-5837
Mailing AddressPo Box 608Mc Clellanville, SC 29458-0608 · (843) 887-3274 · Fax (842) 887-3817
Phone(843) 887-3274
Fax(843) 887-3274
Organization SubpartNo
Authorized OfficialSandra D GilliardCeo · (184) 399-0799
Enumeration DateDecember 16, 2014
Last NPPES UpdateJune 21, 2022
NPPES CertifiedJune 21, 2022
✔ NPI 1316345846 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
57 JESSAMINE AVE, Georgetown, SC 29440
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Other Names 1

Doing Business AsGeorgetown Pediatric Center

Secondary Practice Location 1

Location 11189 Tibwin RdMc Clellanville, SC 29458-9405 · Phone (843) 990-7993 · Fax (843) 887-3817

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 and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

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 42D2242555

St James Health And Wellness / Rosemare Middle School - Sbhc · Andrews, SC
Active · expires Nov 8, 2027
CLIA Number42D2242555
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateNovember 9, 2025
Certificate Expiration DateNovember 8, 2027
Laboratory DirectorDawn Clancy
Laboratory Phone(843) 990-7993
Laboratory LocationSt James Health And Wellness / Rosemare Middle School - Sbhc12804 County Line Road, Andrews, SC 29510
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 42D2316110

St James Health And Wellness Inc · Georgetown, SC
Active · expires Dec 26, 2026
CLIA Number42D2316110
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateDecember 27, 2024
Certificate Expiration DateDecember 26, 2026
Laboratory DirectorLillieanne L. Debnam
Laboratory Phone(843) 990-7993
Laboratory LocationSt James Health And Wellness Inc4145 Powell Rd, Georgetown, SC 29440
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

GEORGETOWN PEDIATRIC CENTER
Clinic/Center (Rural Health)
57 JESSAMINE AVE
GEORGETOWN, SC 29440
Georgetown County (843) 546-8686
DR. MELANIE WHITMAN DO
Pediatrics
57 JESSAMINE AVE
GEORGETOWN, SC 29440
Georgetown County (843) 546-8686
DR. KAICEE PONDS RICHARDSON M.D.
Pediatrics
57 JESSAMINE AVE
GEORGETOWN, SC 29440
Georgetown County (843) 546-8686
GEORGETOWN PEDIATRIC CENTER, PC
Pediatrics
57 JESSAMINE AVE
GEORGETOWN, SC 29440
Georgetown County (843) 546-8686
MARICA GREEN FNP
Nurse Practitioner (Family)
57 JESSAMINE AVE
GEORGETOWN, SC 29440
Georgetown County (843) 546-8686
ANNA NEWELL
Nurse Practitioner (Pediatrics)
57 JESSAMINE AVE
GEORGETOWN, SC 29440
Georgetown County (843) 546-8686
DR. LILLIANNE MARIE LEWIS DEBNAM MD, MPH
Pediatrics
57 JESSAMINE AVE
GEORGETOWN, SC 29440
Georgetown County (843) 546-8686

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 St. James Health And Wellness Inc.'s NPI number?

The NPI number for St. James Health And Wellness Inc. is 1316345846. It was assigned to this organization in the NPPES registry on December 16, 2014. The provider is doing business as Georgetown Pediatric Center.

Where is St. James Health And Wellness Inc. located?

St. James Health And Wellness Inc. is located at 57 Jessamine Ave, Georgetown, SC 29440. The listed phone number is (843) 887-3274.

What is St. James Health And Wellness 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 St. James Health And Wellness Inc. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does St. James Health And Wellness Inc. accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and Molina Healthcare list St. James Health And Wellness 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 St. James Health And Wellness Inc. was last updated on June 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.