WALTERBORO ADULT AND PEDIATRIC MEDICINE,LLC
NPI 1467438499
Clinic/Center - Rural Health in Walterboro, SC

Q: What is Walterboro Adult And Pediatric Medicine,llc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Active since December 21, 2005

447 SPRUCE ST, WALTERBORO, SC 29488(843) 549-6331(843) 549-6332 Get Directions Write a Review

NPPES record last updated: April 8, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Walterboro Adult And Pediatric Medicine,llc NPPES

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

WALTERBORO ADULT AND PEDIATRIC MEDICINE,LLC (NPI 1467438499) is a healthcare organization registered as a rural health in Walterboro, South Carolina and active in the NPI registry since December 2005. The organization lists John Glenn Creel, Ceo, as its authorized official.

NPPES Registry Identity

NPI1467438499

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NameWALTERBORO ADULT AND PEDIATRIC MEDICINE,LLC

Location Address447 SPRUCE STWalterboro, SC 29488-2766

Mailing Address447 Spruce StWalterboro, SC 29488-2766 · (843) 549-6331 · Fax (843) 549-6332

Phone(843) 549-6331

Fax(843) 549-6332

Organization SubpartNo

Authorized OfficialJohn Glenn CreelCeo · (843) 549-6331

Enumeration DateDecember 21, 2005

Last NPPES UpdateApril 8, 2026

NPPES CertifiedApril 8, 2026

✔ NPI 1467438499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

Also ListedFamily MedicineTaxonomy 207Q00000X

447 SPRUCE ST, Walterboro, SC 29488

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Other Identifiers 1

MedicaidGP3911SC

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, Molina Healthcare, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Walterboro Adult And Pediatric Medicine,llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Walterboro Adult And Pediatric Medicine,llc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Shania Smalls

Nurse Practitioner

NPI 1992578165

9201 E MOUNTAIN VIEW RD STE 220
Scottsdale, AZ 85258

(480) 298-7571

✔ PECOS✔ Accepts Medicare1,801 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Walterboro Adult And Pediatric Medicine,llc's NPI number?

The NPI number for Walterboro Adult And Pediatric Medicine,llc is 1467438499. It was assigned to this organization in the NPPES registry on December 21, 2005.

Where is Walterboro Adult And Pediatric Medicine,llc located?

Walterboro Adult And Pediatric Medicine,llc is located at 447 Spruce St, Walterboro, SC 29488. The listed phone number is (843) 549-6331.

What is Walterboro Adult And Pediatric Medicine,llc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is Walterboro Adult And Pediatric Medicine,llc enrolled in Medicare?

Yes. Walterboro Adult And Pediatric Medicine,llc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Walterboro Adult And Pediatric Medicine,llc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Walterboro Adult And Pediatric Medicine,llc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Walterboro Adult And Pediatric Medicine,llc accept?

Health plans from BlueCross BlueShield of South Carolina, Molina Healthcare and UnitedHealthcare list Walterboro Adult And Pediatric Medicine,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 Walterboro Adult And Pediatric Medicine,llc was last updated on April 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.