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MUSC HEALTH PRIMARY CARE GREAT FALLS
NPI 1417684192
Clinic/Center - Rural Health in Great Falls, SC

Active since August 03, 2022CLIA 42D1059740 · Waiver
308 CHESTER AVE, GREAT FALLS, SC 29055(843) 792-1414 Get Directions Write a Review

NPPES record last updated: December 2, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 2, 2024, Oct 13, 2022, Sep 23, 2022 and 1 more (4 updates tracked since 2022).

About Musc Health Primary Care Great Falls NPPES

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

MUSC HEALTH PRIMARY CARE GREAT FALLS (NPI 1417684192) is a healthcare organization registered as a rural health in Great Falls, South Carolina and active in the NPI registry since August 2022. The organization holds a CLIA Waiver certificate valid through January 29, 2028, maintains a secondary practice location in Lake City, and lists Karyn Rae, Chief Payor Relations And Reimburse, as its authorized official.

NPPES Registry Identity

NPI1417684192
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameMEDICAL UNIVERSITY HOSPITAL AUTHORITY
Location Address308 CHESTER AVEGreat Falls, SC 29055-1104
Mailing AddressPo Box 23467New York, NY 10087-3467 · (843) 792-6200
Phone(843) 792-1414
Organization SubpartNo
Authorized OfficialKaryn RaeChief Payor Relations And Reimburse · (843) 876-1344
Enumeration DateAugust 3, 2022
Last NPPES UpdateDecember 2, 20244 updates tracked since enumeration
NPPES CertifiedDecember 2, 2024
✔ NPI 1417684192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
308 CHESTER AVE, Great Falls, SC 29055
Open in Google Maps ↗

Other Names 1

Doing Business AsMusc Health Primary Care Great Falls

Secondary Practice Location 1

Location 1334 Mercy StLake City, SC 29560-2332 · Phone (843) 792-1414

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

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 42D1059740

Medical University Hospital Authority Dba Musc Health Primary Care - Great Falls · Great Falls, SC
Active · expires Jan 29, 2028
CLIA Number42D1059740
Laboratory TypePhysician Office
Certificate Effective DateJanuary 30, 2026
Certificate Expiration DateJanuary 29, 2028
Laboratory DirectorDr. Garrett C. Kent
Laboratory Phone(803) 482-2129
Laboratory LocationMedical University Hospital Authority Dba Musc Health Primary Care - Great Falls308 Chester Ave, Great Falls, SC 29055
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

DR. GARRETT COLTON KENT M.D.
Family Medicine
308 CHESTER AVE
GREAT FALLS, SC 29055
Chester County (803) 482-2129
CHESTER PHYSICIANS HMA
Family Medicine
308 CHESTER AVE
GREAT FALLS, SC 29055
Chester County (803) 482-2129
KRISTIE WADE FNP
Nurse Practitioner (Family)
308 CHESTER AVE
GREAT FALLS, SC 29055
Chester County (803) 482-2129
NOVANT MEDICAL GROUP, INC.
Family Medicine
308 CHESTER AVE
GREAT FALLS, SC 29055
Chester County (803) 482-2129

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 Medical University Hospital Authority's NPI number?

The NPI number for Medical University Hospital Authority is 1417684192. It was assigned to this organization in the NPPES registry on August 3, 2022. The provider is doing business as Musc Health Primary Care Great Falls.

Where is Medical University Hospital Authority located?

Medical University Hospital Authority is located at 308 Chester Ave, Great Falls, SC 29055. The listed phone number is (843) 792-1414.

What is Medical University Hospital Authority's specialty?

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

Does Medical University Hospital Authority hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D1059740) is associated with this NPI, valid through January 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Medical University Hospital Authority accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and Molina Healthcare and 1 other insurer list Medical University Hospital Authority 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 Medical University Hospital Authority was last updated on December 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.