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BEACH MEDICAL WEIGHT LOSS NORTH AUGUSTA SC LLC
NPI 1447714993
Clinic/Center - Primary Care in North Augusta, SC

Active since January 29, 2019
220 EDGEFIELD RD, NORTH AUGUSTA, SC 29841(803) 426-8882(803) 426-8910 Get Directions Write a Review

NPPES record last updated: February 24, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 24, 2021, Jan 29, 2019 (2 updates tracked since 2019).

About Beach Medical Weight Loss North Augusta Sc Llc NPPES

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

BEACH MEDICAL WEIGHT LOSS NORTH AUGUSTA SC LLC (NPI 1447714993) is a healthcare organization registered as a primary care in North Augusta, South Carolina and active in the NPI registry since January 2019. The organization lists Donald Rogers, Owner, as its authorized official.

NPPES Registry Identity

NPI1447714993
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameBEACH MEDICAL WEIGHT LOSS NORTH AUGUSTA SC LLC
Location Address220 EDGEFIELD RDNorth Augusta, SC 29841-1941
Mailing Address220 Edgefield RdNorth Augusta, SC 29841-1941 · (803) 426-8882 · Fax (803) 426-8910
Phone(803) 426-8882
Fax(803) 426-8910
Organization SubpartNo
Authorized OfficialDonald RogersOwner · (803) 426-8882
Enumeration DateJanuary 29, 2019
Last NPPES UpdateFebruary 24, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2021
✔ NPI 1447714993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
220 EDGEFIELD RD, North Augusta, SC 29841
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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 42D2151968

Beach Medical · North Augusta, SC
Expired · Jul 30, 2026
CLIA Number42D2151968
Laboratory TypePractitioner Other
Certificate Effective DateJuly 31, 2024
Certificate Expiration DateJuly 30, 2026
Laboratory DirectorMs. Traci E. Corbin
Laboratory Phone(803) 426-8882
Laboratory LocationBeach Medical220 Edgefield Rd, North Augusta, SC 29841
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 2

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

AMANDA BYERS
Nurse Practitioner (Family)
220 EDGEFIELD RD
NORTH AUGUSTA, SC 29841
Aiken County (803) 426-8882
AMANDA RENEA CARELOCK NP-C
Nurse Practitioner (Family)
220 EDGEFIELD RD
NORTH AUGUSTA, SC 29841
Aiken County (803) 640-1881

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 Beach Medical Weight Loss North Augusta Sc LLC's NPI number?

The NPI number for Beach Medical Weight Loss North Augusta Sc LLC is 1447714993. It was assigned to this organization in the NPPES registry on January 29, 2019.

Where is Beach Medical Weight Loss North Augusta Sc LLC located?

Beach Medical Weight Loss North Augusta Sc LLC is located at 220 Edgefield Rd, North Augusta, SC 29841. The listed phone number is (803) 426-8882.

What is Beach Medical Weight Loss North Augusta Sc LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Beach Medical Weight Loss North Augusta Sc LLC was last updated on February 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.