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CARL W THURMOND M.D.
NPI 1386638518
Internal Medicine - Cardiovascular Disease in Sumter, SC

Active since September 02, 2005PECOS EnrolledAccepts Medicare Assignment
100 N SUMTER ST STE 202, SUMTER, SC 29150(803) 774-9797(803) 933-3012 Get Directions Write a Review

NPPES record last updated: January 12, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 12, 2026, Apr 13, 2018 (2 updates tracked since 2018).

About Carl W Thurmond M.d. NPPES

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

CARL W THURMOND M.D. (NPI 1386638518) is an individual cardiovascular disease provider in Sumter, South Carolina, licensed in South Carolina (32168) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Prisma Health Richland Hospital, and maintains a secondary practice location in Columbia.

NPPES Registry Identity

NPI1386638518
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameCARL W THURMONDCredential: M.D.
Location Address100 N SUMTER ST STE 202Sumter, SC 29150-4975
Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842 · (864) 695-6697
Phone(803) 774-9797
Fax(803) 933-3012
Sole ProprietorNo
Medical School CMSMercer University School Of MedicineGraduated 1995
Enumeration DateSeptember 2, 2005
Last NPPES UpdateJanuary 12, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2026
✔ NPI 1386638518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Licenses✔ Licensed in SC · 32168✔ Licensed in GA · 037711
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal MedicineTaxonomy 207R00000X · License 32168 (SC)
Also ListedNuclear Medicine · Nuclear CardiologyTaxonomy 207UN0901X · License 32168 (SC), 037711 (GA)
100 N SUMTER ST STE 202, Sumter, SC 29150
Open in Google Maps ↗

Secondary Practice Location 1

Location 11120 Roberts Branch Pkwy Ste 300Columbia, SC 29203-9144 · Phone (803) 434-3800 · Fax (803) 567-7513

Other Identifiers 4

OtherAA66502603SC · Medicare Ptan
OtherP00218467/CM0845GA · Railroad Medicare
Medicaid000615337CGA
MedicaidG37711SC

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 ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Carl W Thurmond M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3779521919
PECOS Enrollment IDI20110519000209
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Carl Thurmond reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Prisma Health Medical Group-Midlands
0.1 mi
Plastic and Reconstructive Surgery
115 N SUMTER ST STE 115
Sumter, SC 29150
  • Reassigned Medicare billing, South Carolina enrollment
  • 1,466 clinicians in this Medicare group
NPI 1447749510 (803) 774-7546

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Prisma Health Richland Hospital

Acute Care Hospitals · Columbia, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420018
Location5 Medical ParkColumbia, SC 29203 · Richland County
Emergency services Birthing friendly

Prisma Health Tuomey Hospital

Acute Care Hospitals · Sumter, SC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420070
Location129 N Washington StSumter, SC 29150 · Sumter County
Emergency services Birthing friendly

Mcleod Health Clarendon

Acute Care Hospitals · Manning, SC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420109
Location10 East Hospital StreetManning, SC 29102 · Clarendon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29150 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. VISHAL RIKY DHULIPALA M.D.
Internal Medicine (Interventional Cardiology)
100 N SUMTER ST STE 202
SUMTER, SC 29150
Sumter County (803) 774-9797
MRS. ELIZABETH MARIE DISHER APRN
Nurse Practitioner (Family)
100 N SUMTER ST STE 202
SUMTER, SC 29150
Sumter County (803) 774-9797
JAMES RYAN ALTMAN M.D.
Internal Medicine (Interventional Cardiology)
100 N SUMTER ST STE 202
SUMTER, SC 29150
Sumter County (803) 774-9797
DR. JARRED JORGE JUSTIN SARGEANT M.D.
Internal Medicine (Interventional Cardiology)
100 N SUMTER ST STE 202
SUMTER, SC 29150
Sumter County (803) 774-9797
MARY KATHRYN STEED APRN
Nurse Practitioner (Gerontology)
100 N SUMTER ST STE 202
SUMTER, SC 29150
Sumter County (803) 774-9797
MOINUDDIN SYED
Internal Medicine (Interventional Cardiology)
100 N SUMTER ST STE 202
SUMTER, SC 29150
Sumter County (803) 774-9797
ALEXIS JORDAN PA-C
Physician Assistant
100 N SUMTER ST STE 202
SUMTER, SC 29150
Sumter County (803) 774-9797

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 Carl Thurmond's NPI number?

The NPI number for Carl Thurmond is 1386638518. It was assigned to this individual provider in the NPPES registry on September 2, 2005.

Where is Carl Thurmond located?

Carl Thurmond practices at 100 N Sumter St Ste 202, Sumter, SC 29150. The listed phone number is (803) 774-9797.

What is Carl Thurmond's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Carl Thurmond enrolled in Medicare?

Yes. Carl Thurmond is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Carl Thurmond's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carl Thurmond reassigns Medicare benefits to Prisma Health Medical Group-Midlands (Sumter, SC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carl Thurmond's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carl Thurmond accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina and BlueCross BlueShield of South Carolina list Carl Thurmond 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.

Is Carl Thurmond affiliated with any hospitals?

According to CMS data, Carl Thurmond is affiliated with Prisma Health Richland Hospital, Prisma Health Tuomey Hospital and Mcleod Health Clarendon.

When was this NPI record last updated?

The NPPES record for Carl Thurmond was last updated on January 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.