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SOUTH COMMUNITY PRIMARY CARE INC
NPI 1326334624
General Practice in Moraine, OH

Active since June 24, 2011CLIA 36D2080710 · Waiver
3095 KETTERING BLVD, MORAINE, OH 45439(937) 531-1974(937) 534-1579 Get Directions Write a Review

NPPES record last updated: April 10, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About South Community Primary Care Inc NPPES

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

SOUTH COMMUNITY PRIMARY CARE INC (NPI 1326334624) is a healthcare organization registered as a general practice in Moraine, Ohio and active in the NPI registry since June 2011. The organization holds a CLIA Waiver certificate valid through July 13, 2028 and lists Carol M Smerz, Ceo, as its authorized official.

NPPES Registry Identity

NPI1326334624
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameSOUTH COMMUNITY PRIMARY CARE INC
Location Address3095 KETTERING BLVDMoraine, OH 45439
Mailing Address3095 Kettering BlvdMoraine, OH 45439 · (937) 531-1974 · Fax (937) 534-1579
Phone(937) 531-1974
Fax(937) 534-1579
Organization SubpartNo
Authorized OfficialCarol M SmerzCeo · (937) 293-8300
Enumeration DateJune 24, 2011
Last NPPES UpdateApril 10, 2018
✔ NPI 1326334624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
3095 KETTERING BLVD, Moraine, OH 45439
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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 36D2080710

South Community Inc · Dayton, OH
Active · expires Jul 13, 2028
CLIA Number36D2080710
Laboratory TypeCommunity Mental Health
Certificate Effective DateJuly 14, 2026
Certificate Expiration DateJuly 13, 2028
Laboratory DirectorRick T. Bowers
Laboratory Phone(937) 293-8300
Laboratory LocationSouth Community Inc3095 Kettering Blvd, Dayton, OH 45439
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 20

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

ELISSA NICHOLE HOSTETTER
Social Worker
3095 KETTERING BLVD
MORAINE, OH 45439
Montgomery County (937) 534-1384
HOLLY MICHELLE VADNAIS
Case Manager/Care Coordinator
3095 KETTERING BLVD
MORAINE, OH 45439
Montgomery County (937) 293-8300
ELIZABETH LIAPIS LISW-SUPV
Social Worker (Clinical)
3095 KETTERING BLVD
MORAINE, OH 45439
Montgomery County (937) 293-8300
KIMBERLY YATES
Case Manager/Care Coordinator
3095 KETTERING BLVD
MORAINE, OH 45439
Montgomery County (937) 293-8300
LOGAN BRUNO
Case Manager/Care Coordinator
3095 KETTERING BLVD
MORAINE, OH 45439
Montgomery County (937) 293-8300
PAIGE DICKERSON
Social Worker
3095 KETTERING BLVD
MORAINE, OH 45439
Montgomery County (937) 293-8300
MISS WILLIETTE ANDERSON
Case Manager/Care Coordinator
3095 KETTERING BLVD
MORAINE, OH 45439
Montgomery County (937) 991-4817
HANNAH MILLER
Case Manager/Care Coordinator
3095 KETTERING BLVD
MORAINE, OH 45439
Montgomery County (937) 534-1554

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 South Community Primary Care Inc's NPI number?

The NPI number for South Community Primary Care Inc is 1326334624. It was assigned to this organization in the NPPES registry on June 24, 2011.

Where is South Community Primary Care Inc located?

South Community Primary Care Inc is located at 3095 Kettering Blvd, Moraine, OH 45439. The listed phone number is (937) 531-1974.

What is South Community Primary Care Inc's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does South Community Primary Care Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2080710) is associated with this NPI, valid through July 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does South Community Primary Care Inc accept?

Health plans from CareSource list South Community Primary Care 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 South Community Primary Care Inc was last updated on April 10, 2018. 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.