1. Home
  2. Directory
  3. South Carolina
  4. Walterboro
  5. Pediatrics
  6. NPI Profile

VALCOURT PEDIATRIC ASSOCIATES
NPI 1396012126
Pediatrics in Walterboro, SC

Active since November 22, 2011CLIA Certified · 3 labs
124 MEDICAL PARK DR, WALTERBORO, SC 29488(843) 782-3636(843) 782-3269 Get Directions Write a Review

NPPES record last updated: November 22, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Valcourt Pediatric Associates NPPES

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

VALCOURT PEDIATRIC ASSOCIATES (NPI 1396012126) is a healthcare organization registered as a pediatrics in Walterboro, South Carolina and active in the NPI registry since November 2011. The organization holds 3 active CLIA laboratory certificates and lists Lisa Maree Hart, Practice Adminstrator, as its authorized official.

NPPES Registry Identity

NPI1396012126
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameVALCOURT PEDIATRIC ASSOCIATES
Location Address124 MEDICAL PARK DRWalterboro, SC 29488-5719
Mailing Address124 Medical Park DrWalterboro, SC 29488-5719 · (843) 782-3636 · Fax (843) 782-3269
Phone(843) 782-3636
Fax(843) 782-3269
Organization SubpartNo
Authorized OfficialLisa Maree HartPractice Adminstrator · (843) 782-3636
Enumeration DateNovember 22, 2011
✔ NPI 1396012126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in SC · 29352
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
124 MEDICAL PARK DR, Walterboro, SC 29488
Open in Google Maps ↗

Other Identifiers 1

MedicaidG58526SC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 3

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 42D2012770

Valcourt Pediatrics · Walterboro, SC
Active · expires Sep 8, 2026
CLIA Number42D2012770
Laboratory TypePhysician Office
Certificate Effective DateSeptember 9, 2024
Certificate Expiration DateSeptember 8, 2026
Laboratory DirectorDr. Yvrose Valcourt
Laboratory Phone(843) 782-3636
Laboratory LocationValcourt Pediatrics124 Medical Park Drive, Walterboro, SC 29488
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 42D1099984

Valcourt Pediatric Assoc · Ridgeland, SC
Active · expires May 27, 2027
CLIA Number42D1099984
Laboratory TypePhysician Office
Certificate Effective DateMay 28, 2025
Certificate Expiration DateMay 27, 2027
Laboratory DirectorYvrose Valcourt, MD
Laboratory Phone(843) 782-3636
Laboratory LocationValcourt Pediatric Assoc3191 Argent Blvd Ste 104 D, Ridgeland, SC 29936
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D2090101

Valcourt Pediatric Associates · Augusta, GA
Active · expires Jan 14, 2027
CLIA Number11D2090101
Laboratory TypePhysician Office
Certificate Effective DateJanuary 15, 2025
Certificate Expiration DateJanuary 14, 2027
Laboratory DirectorYvrose Valcourt
Laboratory Phone(843) 782-3636
Laboratory LocationValcourt Pediatric Associates1511 Anthony Rd, Augusta, GA 30904
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 3

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

GENESIS HEALTH CARE, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
124 MEDICAL PARK DR
WALTERBORO, SC 29488
Colleton County (803) 782-3636
DR. YVROSE VALCOURT MD
Pediatrics
124 MEDICAL PARK DR
WALTERBORO, SC 29488
Colleton County (843) 782-3636
JOHN FRANK BIGGERS MD
Internal Medicine
124 MEDICAL PARK DR
WALTERBORO, SC 29488
Colleton County (843) 549-9471

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 Valcourt Pediatric Associates's NPI number?

The NPI number for Valcourt Pediatric Associates is 1396012126. It was assigned to this organization in the NPPES registry on November 22, 2011.

Where is Valcourt Pediatric Associates located?

Valcourt Pediatric Associates is located at 124 Medical Park Dr, Walterboro, SC 29488. The listed phone number is (843) 782-3636.

What is Valcourt Pediatric Associates's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Valcourt Pediatric Associates hold CLIA laboratory certificates?

Yes. 3 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 Valcourt Pediatric Associates 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 Valcourt Pediatric Associates 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 Valcourt Pediatric Associates was last updated on November 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.