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ESTILL MEDICAL CENTER
NPI 1598019341
Clinic/Center - Federally Qualified Health Center (FQHC) in Estill, SC

Active since November 01, 2012CLIA 42D1008985 · Microscopy
776 2ND ST E, ESTILL, SC 29918(803) 625-2548(803) 625-2801 Get Directions Write a Review

NPPES record last updated: August 8, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Estill Medical Center NPPES

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

ESTILL MEDICAL CENTER (NPI 1598019341) is a healthcare organization registered as a federally qualified health center (fqhc) in Estill, South Carolina and active in the NPI registry since November 2012. The organization holds a CLIA Microscopy certificate valid through February 3, 2027 and lists Roland J Gardner, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1598019341
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameBEAUFORT JASPER HAMPTON COMPREHENSIVE HEALTH SERVICES, INC.
Location Address776 2ND ST EEstill, SC 29918-4926
Mailing Address721 N Okatie Hwy # 170Ridgeland, SC 29936-8276 · (843) 987-7400 · Fax (843) 987-7498
Phone(803) 625-2548
Fax(803) 625-2801
Organization SubpartNo
Authorized OfficialRoland J GardnerChief Executive Officer · (843) 987-7400
Enumeration DateNovember 1, 2012
Last NPPES UpdateAugust 8, 2016
✔ NPI 1598019341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
License✔ Licensed in SC · FQC101
Also ListedClinic/Center · Community HealthTaxonomy 261QC1500X · License GP2554 (SC)
Also ListedClinic/Center · DentalTaxonomy 261QD0000X · License 295441 (SC)
Also ListedClinic/Center · Medical SpecialtyTaxonomy 261QM2500X · License FQC101 (SC), CBP005 (SC)
776 2ND ST E, Estill, SC 29918
Open in Google Maps ↗

Other Names 1

Doing Business AsEstill Medical Center

Other Identifiers 2

Medicare PIN42-1907SC
MedicaidFQC101SC

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)

Estill Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

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 IDO20091020000267Part A · Federally Qualified Health Center (FQHC)Due dateDecember 31, 2026
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 for Provider-Performed Microscopy Procedures (PPMP) 42D1008985

Estill Medical Center Bjhchs · Estill, SC
Active · expires Feb 3, 2027
CLIA Number42D1008985
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateFebruary 4, 2025
Certificate Expiration DateFebruary 3, 2027
Laboratory DirectorMary L. Ferguson
Laboratory Phone(803) 625-2548
Laboratory LocationEstill Medical Center Bjhchs777 Second Street E, Estill, SC 29918
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 3

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

SARA ASHLEY MCCRACKEN
Nurse Practitioner (Family)
776 2ND ST E
ESTILL, SC 29918
Hampton County (803) 625-2548
ELIZABETH WARREN MCALHANEY MSN
Nurse Practitioner (Family)
776 2ND ST E
ESTILL, SC 29918
Hampton County (843) 987-7492
ASHLYN E SMITH FNP
Nurse Practitioner (Family)
776 2ND ST E
ESTILL, SC 29918
Hampton County (803) 625-2548

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 Jasper Hampton Comprehensive Health Services, Inc.'s NPI number?

The NPI number for Beaufort Jasper Hampton Comprehensive Health Services, Inc. is 1598019341. It was assigned to this organization in the NPPES registry on November 1, 2012. The provider is doing business as Estill Medical Center.

Where is Beaufort Jasper Hampton Comprehensive Health Services, Inc. located?

Beaufort Jasper Hampton Comprehensive Health Services, Inc. is located at 776 2nd St E, Estill, SC 29918. The listed phone number is (803) 625-2548.

What is Beaufort Jasper Hampton Comprehensive Health Services, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Beaufort Jasper Hampton Comprehensive Health Services, Inc. enrolled in Medicare?

Yes. Beaufort Jasper Hampton Comprehensive Health Services, Inc. is registered in the Medicare PECOS enrollment system.

When is Beaufort Jasper Hampton Comprehensive Health Services, Inc.'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, Federally Qualified Health Center (FQHC)) is due for revalidation by December 31, 2026. 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 Jasper Hampton Comprehensive Health Services, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 42D1008985) is associated with this NPI, valid through February 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Beaufort Jasper Hampton Comprehensive Health Services, Inc. accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, First Choice Next and Molina Healthcare and 1 other insurer list Beaufort Jasper Hampton Comprehensive Health Services, Inc. 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 Jasper Hampton Comprehensive Health Services, Inc. was last updated on August 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.