SANDHILLS MEDICAL FOUNDATION, INC.
NPI 1386902542
Clinic/Center - Federally Qualified Health Center (FQHC) in Kershaw, SC

Active since April 25, 2012CLIA 42D2041369 · Waiver
205 W MARION ST, KERSHAW, SC 29067(803) 475-4701(803) 475-4712 Get Directions Write a Review

NPPES record last updated: September 29, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sandhills Medical Foundation, Inc. NPPES

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

SANDHILLS MEDICAL FOUNDATION, INC. (NPI 1386902542) is a healthcare organization registered as a federally qualified health center (fqhc) in Kershaw, South Carolina and active in the NPI registry since April 2012. The organization holds a CLIA Waiver certificate valid through May 21, 2028 and lists Ernest James Stanley Wardlaw, Ceo, as its authorized official.

NPPES Registry Identity

NPI1386902542
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameSANDHILLS MEDICAL FOUNDATION, INC.
Location Address205 W MARION STKershaw, SC 29067-1412
Mailing AddressPo Box 366Mc Bee, SC 29101-0366 · (843) 335-8291 · Fax (843) 335-8731
Fax(803) 475-4712
Organization SubpartNo
Authorized OfficialErnest James Stanley WardlawCeo · (843) 335-8291
Enumeration DateApril 25, 2012
Last NPPES UpdateSeptember 29, 2023
NPPES CertifiedSeptember 29, 2023
NPI 1386902542 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
205 W MARION ST, Kershaw, SC 29067

Accepted 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 42D2041369

Sandhills Medical Foundation Kershaw Office · Kershaw, SC
Active · expires May 21, 2028
CLIA Number42D2041369
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateMay 22, 2026
Certificate Expiration DateMay 21, 2028
Laboratory DirectorDr. David Thompson
Laboratory Phone(803) 475-4701
Laboratory LocationSandhills Medical Foundation Kershaw Office205 W Marion St, Kershaw, SC 29067
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Pharmacy (Community/Retail Pharmacy)
205 W MARION ST
KERSHAW, SC 29067

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 Sandhills Medical Foundation, Inc.'s NPI number?

The NPI number for Sandhills Medical Foundation, Inc. is 1386902542. It was assigned to this organization in the NPPES registry on April 25, 2012.

Where is Sandhills Medical Foundation, Inc. located?

Sandhills Medical Foundation, Inc. is located at 205 W Marion St, Kershaw, SC 29067. The listed phone number is (803) 475-4701.

What is Sandhills Medical Foundation, 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 Sandhills Medical Foundation, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2041369) is associated with this NPI, valid through May 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Sandhills Medical Foundation, Inc. accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and InStil Health and 1 other insurer list Sandhills Medical Foundation, 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 Sandhills Medical Foundation, Inc. was last updated on September 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.