MUSC HEALTH EXPRESS CARE LAKE CITY
NPI 1457950222
Clinic/Center - Rural Health in Lake City, SC

Active since October 22, 2020CLIA 42D2157183 · Waiver
148 SAULS ST STE E, LAKE CITY, SC 29560(843) 669-9183 Get Directions Write a Review

NPPES record last updated: September 23, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 23, 2022, Oct 22, 2020 (2 updates tracked since 2020).

About Musc Health Express Care Lake City NPPES

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

MUSC HEALTH EXPRESS CARE LAKE CITY (NPI 1457950222) is a healthcare organization registered as a rural health in Lake City, South Carolina and active in the NPI registry since October 2020. The organization holds a CLIA Waiver certificate valid through October 31, 2026 and lists Karyn Rae, Chief, as its authorized official.

NPPES Registry Identity

NPI1457950222
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameMEDICAL UNIVERSITY HOSPITAL AUTHORITY
Location Address148 SAULS ST STE ELake City, SC 29560-2677
Mailing AddressPo Box 23467New York, NY 10087-3467 · (843) 792-6200
Organization SubpartNo
Authorized OfficialKaryn RaeChief · (843) 876-1344
Enumeration DateOctober 22, 2020
Last NPPES UpdateSeptember 23, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2022
✔ NPI 1457950222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
148 SAULS ST STE E, Lake City, SC 29560

Other Names 1

Doing Business AsMusc Health Express Care Lake City

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Musc Health Express Care Lake City is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateSouth CarolinaEnrollment IDO20210423000359Part A · Rural Health ClinicDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

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 42D2157183

Musc Health Chester Medical Center Dba Musc Health-Express Care-Lake City · Lake City, SC
Active · expires Oct 31, 2026
CLIA Number42D2157183
Laboratory TypeExt Of Physician Prac
Certificate Effective DateNovember 1, 2024
Certificate Expiration DateOctober 31, 2026
Laboratory DirectorDr. Lisa Wright
Laboratory Phone(843) 699-9183
Laboratory LocationMusc Health Chester Medical Center Dba Musc Health-Express Care-Lake City148 Sauls St, Ste E, Lake City, SC 29560
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

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

Nurse Practitioner (Family)
148 SAULS ST STE E
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 Medical University Hospital Authority's NPI number?

The NPI number for Medical University Hospital Authority is 1457950222. It was assigned to this organization in the NPPES registry on October 22, 2020. The provider is doing business as Musc Health Express Care Lake City.

Where is Medical University Hospital Authority located?

Medical University Hospital Authority is located at 148 Sauls St Ste E, Lake City, SC 29560. The listed phone number is (843) 669-9183.

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.

Is Medical University Hospital Authority enrolled in Medicare?

Yes. Medical University Hospital Authority is registered in the Medicare PECOS enrollment system.

When is Medical University Hospital Authority's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (South Carolina, Rural Health Clinic) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Does Medical University Hospital Authority hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2157183) is associated with this NPI, valid through October 31, 2026. 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 Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and First Choice Next and 2 other insurers 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 September 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.