PRIME CARE OF THE LOWER PEE DEE, LLC
NPI 1437692407
Clinic/Center - Multi-Specialty in Lake City, SC

Active since November 23, 2016
263 KELLEY ST STE 100, LAKE CITY, SC 29560(843) 394-8274(843) 394-1604 Get Directions Write a Review

NPPES record last updated: November 23, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Prime Care Of The Lower Pee Dee, Llc NPPES

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

PRIME CARE OF THE LOWER PEE DEE, LLC (NPI 1437692407) is a healthcare organization registered as a multi-specialty in Lake City, South Carolina and active in the NPI registry since November 2016. The organization lists Tyrone Delmar Wallace, Owner, as its authorized official.

NPPES Registry Identity

NPI1437692407
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePRIME CARE OF THE LOWER PEE DEE, LLC
Location Address263 KELLEY ST STE 100Lake City, SC 29560-2472
Mailing Address263 Kelleyst Ste 100Lake City, SC 29560 · (843) 394-8274 · Fax (843) 394-1604
Fax(843) 394-1604
Organization SubpartNo
Authorized OfficialTyrone Delmar WallaceOwner · (843) 394-8274
Enumeration DateNovember 23, 2016
NPI 1437692407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
License Licensed in SC · SC 1873
263 KELLEY ST STE 100, Lake City, SC 29560

Other Identifiers 2

MedicaidCH1873SC
Medicare OSCAR/certificationU533720281SC

Accepted Insurance

Other Providers at the Same Location NPPES 2

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

Chiropractor
263 KELLEY ST STE 100
LAKE CITY, SC 29560
Chiropractor
263 KELLEY ST STE 100
LAKE CITY, SC 29560

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 Prime Care Of The Lower Pee Dee, LLC's NPI number?

The NPI number for Prime Care Of The Lower Pee Dee, LLC is 1437692407. It was assigned to this organization in the NPPES registry on November 23, 2016.

Where is Prime Care Of The Lower Pee Dee, LLC located?

Prime Care Of The Lower Pee Dee, LLC is located at 263 Kelley St Ste 100, Lake City, SC 29560. The listed phone number is (843) 394-8274.

What is Prime Care Of The Lower Pee Dee, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

What insurance does Prime Care Of The Lower Pee Dee, LLC accept?

Health plans from Molina Healthcare list Prime Care Of The Lower Pee Dee, LLC 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 Prime Care Of The Lower Pee Dee, LLC was last updated on November 23, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.