1. Home
  2. Directory
  3. South Carolina
  4. Beaufort
  5. Pediatrics
  6. NPI Profile

BEAUFORT PEDIATRICS, P.A.
NPI 1467413641
Pediatrics - Adolescent Medicine in Beaufort, SC

Active since March 29, 2006CLIA 42D0253857 · Waiver
964 RIBAUT RD, BEAUFORT, SC 29902(843) 524-5437(843) 524-0425 Get Directions Write a Review

NPPES record last updated: November 11, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Beaufort Pediatrics, P.a. NPPES

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

BEAUFORT PEDIATRICS, P.A. (NPI 1467413641) is a healthcare organization registered as an adolescent medicine in Beaufort, South Carolina and active in the NPI registry since March 2006. The organization holds a CLIA Waiver certificate valid through April 24, 2028 and lists Joseph H Floyd, Preisdent, as its authorized official.

NPPES Registry Identity

NPI1467413641
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NameBEAUFORT PEDIATRICS, P.A.
Location Address964 RIBAUT RDBeaufort, SC 29902-5429
Mailing Address964 Ribaut RdBeaufort, SC 29902-5429 · (843) 524-5437 · Fax (843) 524-0425
Phone(843) 524-5437
Fax(843) 524-0425
Organization SubpartNo
Authorized OfficialJoseph H FloydPreisdent · (843) 524-5437
Enumeration DateMarch 29, 2006
Last NPPES UpdateNovember 11, 2024
NPPES CertifiedNovember 11, 2024
✔ NPI 1467413641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
964 RIBAUT RD, Beaufort, SC 29902
Open in Google Maps ↗

Other Identifiers 1

MedicaidRHC156SC

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 Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Beaufort Pediatrics, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 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 IDO20051214000156Part A · Rural Health ClinicDue dateFebruary 28, 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 42D0253857

Beaufort Pediatrics PA · Beaufort, SC
Active · expires Apr 24, 2028
CLIA Number42D0253857
Laboratory TypePhysician Office
Certificate Effective DateApril 25, 2026
Certificate Expiration DateApril 24, 2028
Laboratory DirectorYolanda Dreier
Laboratory Phone(843) 524-5437
Laboratory LocationBeaufort Pediatrics PA964 Ribaut Road, Suite 1, Beaufort, SC 29902
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 9

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

ISELYN YEVETTE HAMILTON ARNP
Nurse Practitioner (Pediatrics)
964 RIBAUT RD
BEAUFORT, SC 29902
Beaufort County (843) 524-5437
DR. FRANCIS EDWARDS RUSHTON JR. M.D.
Pediatrics
964 RIBAUT RD, SUITE 1
BEAUFORT, SC 29902
Beaufort County (842) 524-5437
DR. JOSEPH H FLOYD M.D.
Pediatrics
964 RIBAUT RD
BEAUFORT, SC 29902
Beaufort County (843) 524-5437
BEAUFORT PEDIATRICS
Social Worker (Clinical)
964 RIBAUT RD, SUITE ONE
BEAUFORT, SC 29902
Beaufort County (843) 524-5437
MRS. A KRISTIN DALTON CPNP
Nurse Practitioner (Pediatrics)
964 RIBAUT RD
BEAUFORT, SC 29902
Beaufort County (843) 524-5437
DR. KIMBERLY MOORE MARTIN M.D.
Pediatrics
964 RIBAUT RD, SUITE 1
BEAUFORT, SC 29902
Beaufort County (843) 524-5437
BEAUFORT PEDIATRICS, P.A.
Clinic/Center (Rural Health)
964 RIBAUT RD
BEAUFORT, SC 29902
Beaufort County (843) 524-5437
DR. SHAYLA BERGMANN MD
Pediatrics (Pediatric Hematology-Oncology)
964 RIBAUT RD
BEAUFORT, SC 29902
Beaufort County (843) 524-5437

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 Beaufort Pediatrics, P.A.'s NPI number?

The NPI number for Beaufort Pediatrics, P.A. is 1467413641. It was assigned to this organization in the NPPES registry on March 29, 2006.

Where is Beaufort Pediatrics, P.A. located?

Beaufort Pediatrics, P.A. is located at 964 Ribaut Rd, Beaufort, SC 29902. The listed phone number is (843) 524-5437.

What is Beaufort Pediatrics, P.A.'s specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Is Beaufort Pediatrics, P.A. enrolled in Medicare?

Yes. Beaufort Pediatrics, P.A. is registered in the Medicare PECOS enrollment system.

When is Beaufort Pediatrics, P.A.'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 February 28, 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 Beaufort Pediatrics, P.A. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D0253857) is associated with this NPI, valid through April 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Beaufort Pediatrics, P.A. accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina and UnitedHealthcare list Beaufort Pediatrics, P.A. 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 Beaufort Pediatrics, P.A. was last updated on November 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.