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JAMES R CARROLL MD PA
NPI 1457308470
Specialist in Mullins, SC

Active since May 27, 2006CLIA 42D1044510 · Waiver
2845 E HIGHWAY 76, SUITE 2, MULLINS, SC 29574(843) 431-2730(843) 431-2735 Get Directions Write a Review

NPPES record last updated: November 22, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 22, 2016, Oct 31, 2016 (2 updates tracked since 2016).

About James R Carroll Md Pa NPPES

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

JAMES R CARROLL MD PA (NPI 1457308470) is a healthcare organization registered as a specialist in Mullins, South Carolina and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through August 21, 2027 and lists James R Carroll, Owner, as its authorized official.

NPPES Registry Identity

NPI1457308470
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameJAMES R CARROLL MD PA
Location Address2845 E HIGHWAY 76, SUITE 2Mullins, SC 29574-6037
Mailing Address2845 E Highway 76, Suite 2Mullins, SC 29574-6037 · (843) 431-2730 · Fax (843) 431-2735
Phone(843) 431-2730
Fax(843) 431-2735
Organization SubpartNo
Authorized OfficialJames R CarrollOwner · (843) 431-2730
Enumeration DateMay 27, 2006
Last NPPES UpdateNovember 22, 20162 updates tracked since enumeration
✔ NPI 1457308470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in SC · 10340
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

2845 E HIGHWAY 76, Mullins, SC 29574
Open in Google Maps ↗

Other Identifiers 3

Medicare UPIND05777SC
Medicare PIN8328SC
MedicaidGP4250SC

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 BlueCross BlueShield of South Carolina.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 42D1044510

James R Carroll MD PA Family Practice · Mullins, SC
Active · expires Aug 21, 2027
CLIA Number42D1044510
Laboratory TypePhysician Office
Certificate Effective DateAugust 22, 2025
Certificate Expiration DateAugust 21, 2027
Laboratory DirectorDr. James R. Carroll
Laboratory Phone(843) 431-2730
Laboratory LocationJames R Carroll MD PA Family Practice2845 East Hwy 76, Suite 2, Mullins, SC 29574
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 18

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

VEGE R RAO M.D.
Pediatrics
2845 E HIGHWAY 76, SUITE 4
MULLINS, SC 29574
Marion County (843) 431-2720
JULIANNA MAYNOR NURSE PRACTITIONER
Nurse Practitioner (Pediatrics)
2845 E HIGHWAY 76, SUITE 5
MULLINS, SC 29574
Marion County (843) 431-2650
MARION REGIONAL HEALTHCARE SYSTEM
Clinic/Center (Rural Health)
2845 E HIGHWAY 76, SUITE 4
MULLINS, SC 29574
Marion County (843) 431-2720
TAMMY P WARD N.P.
Nurse Practitioner (Family)
2845 E HIGHWAY 76, SUITE 4
MULLINS, SC 29574
Marion County (843) 431-2720
STEPHEN P REGEC MD
Obstetrics & Gynecology
2845 E HIGHWAY 76, SUITE 3
MULLINS, SC 29574
Marion County (843) 431-2740
MARION PHYSICIAN SERVICES LLC
Clinic/Center (Rural Health)
2845 E HIGHWAY 76, SUITE 5
MULLINS, SC 29574
Marion County (843) 431-2650
MARION PHYSICIAN SERVICES LLC
Clinic/Center (Rural Health)
2845 E HIGHWAY 76, SUITE 4
MULLINS, SC 29574
Marion County (843) 431-2720
MYERS PODIATRY CLINIC
Podiatrist (Foot & Ankle Surgery)
2845 E HIGHWAY 76, MEDICAL PARK 2, STE 1
MULLINS, SC 29574
Marion County (843) 431-2780

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 James R Carroll MD PA's NPI number?

The NPI number for James R Carroll MD PA is 1457308470. It was assigned to this organization in the NPPES registry on May 27, 2006.

Where is James R Carroll MD PA located?

James R Carroll MD PA is located at 2845 E Highway 76 Suite 2, Mullins, SC 29574. The listed phone number is (843) 431-2730.

What is James R Carroll MD PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does James R Carroll MD PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D1044510) is associated with this NPI, valid through August 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does James R Carroll MD PA accept?

Health plans from BlueCross BlueShield of South Carolina list James R Carroll MD PA 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 James R Carroll MD PA was last updated on November 22, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.