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CAROLINA OMS LLC
NPI 1487345344
Oral & Maxillofacial Surgery in Fort Mill, SC

Active since May 19, 2023
105 BEN CASEY DR STE 115, FORT MILL, SC 29708(803) 548-9910(803) 548-9915 Get Directions Write a Review

NPPES record last updated: June 1, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 1, 2023, May 19, 2023 (2 updates tracked since 2023).

About Carolina Oms Llc NPPES

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

CAROLINA OMS LLC (NPI 1487345344) is a healthcare organization registered as an oral & maxillofacial surgery in Fort Mill, South Carolina and active in the NPI registry since May 2023. The organization lists Nicholas Wegner, Surgeon/co-owner, as its authorized official.

NPPES Registry Identity

NPI1487345344
Entity TypeOrganization
Primary Taxonomy204E00000X
Legal Business NameCAROLINA OMS LLC
Location Address105 BEN CASEY DR STE 115Fort Mill, SC 29708-8557
Mailing Address105 Ben Casey Dr Ste 115Fort Mill, SC 29708-8557 · (803) 548-9910 · Fax (803) 548-9915
Phone(803) 548-9910
Fax(803) 548-9915
Organization SubpartNo
Authorized OfficialNicholas WegnerSurgeon/co-owner · (803) 548-9910
Enumeration DateMay 19, 2023
Last NPPES UpdateJune 1, 20232 updates tracked since enumeration
NPPES CertifiedJune 1, 2023
✔ NPI 1487345344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
105 BEN CASEY DR STE 115, Fort Mill, SC 29708
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Other Identifiers 1

Other1801976162Kenneth Burtner

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carolina Oms 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 Carolina Oms LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kenneth Burtner, DMD
Oral Surgery
NPI 1801976162
105 BEN CASEY DR SUITE 115
Fort Mill, SC 29708
(803) 548-9910
✔ PECOSSame address

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 Carolina Oms LLC's NPI number?

The NPI number for Carolina Oms LLC is 1487345344. It was assigned to this organization in the NPPES registry on May 19, 2023.

Where is Carolina Oms LLC located?

Carolina Oms LLC is located at 105 Ben Casey Dr Ste 115, Fort Mill, SC 29708. The listed phone number is (803) 548-9910.

What is Carolina Oms LLC's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Carolina Oms LLC enrolled in Medicare?

Yes. Carolina Oms LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Carolina Oms LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Oral Surgery) reassigns their Medicare billing to Carolina Oms 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.

When was this NPI record last updated?

The NPPES record for Carolina Oms LLC was last updated on June 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.