WALTERBORO ADULT & PEDIATRIC MEDICINE, LLC
NPI 1376873802
Clinic/Center - Rural Health in Walterboro, SC

Q: What is Walterboro Adult & Pediatric Medicine, LLC's specialty?

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

Active since January 06, 2010CLIA 42D1024717 · Microscopy

447 SPRUCE ST, WALTERBORO, SC 29488(843) 549-6331(843) 782-4380 Get Directions Write a Review

NPPES record last updated: April 8, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Walterboro Adult & Pediatric Medicine, Llc NPPES

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

WALTERBORO ADULT & PEDIATRIC MEDICINE, LLC (NPI 1376873802) is a healthcare organization registered as a rural health in Walterboro, South Carolina and active in the NPI registry since January 2010. The organization holds a CLIA Microscopy certificate valid through April 19, 2028 and lists John Glenn Creel, Ceo, as its authorized official.

NPPES Registry Identity

NPI1376873802

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NameWALTERBORO ADULT & PEDIATRIC MEDICINE, LLC

Location Address447 SPRUCE STWalterboro, SC 29488-2766

Mailing Address447 Spruce StWalterboro, SC 29488-2766 · (843) 549-6331 · Fax (843) 782-4380

Phone(843) 549-6331

Fax(843) 782-4380

Organization SubpartNo

Authorized OfficialJohn Glenn CreelCeo · (843) 549-6331

Enumeration DateJanuary 6, 2010

Last NPPES UpdateApril 8, 2026

NPPES CertifiedApril 8, 2026

✔ NPI 1376873802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

License✔ Licensed in SC · SC217768

447 SPRUCE ST, Walterboro, SC 29488

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.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 for Provider-Performed Microscopy Procedures (PPMP) 42D1024717

Walterboro Adult & Pediatric Medicine · Walterboro, SC

Active · expires Apr 19, 2028

CLIA Number42D1024717

Laboratory TypePhysician Office

Certificate Effective DateApril 20, 2026

Certificate Expiration DateApril 19, 2028

Laboratory DirectorJohn G. Creel MD

Laboratory Phone(843) 549-6331

Laboratory LocationWalterboro Adult & Pediatric Medicine447 Spruce Street, Walterboro, SC 29488

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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.

DR. KELLY ANN FLYNN FNP

Nurse Practitioner (Family)