CAROMONT URGENT CARE
NPI 1609467760
Family Medicine in Lake Wylie, SC
About Caromont Urgent Care NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CAROMONT URGENT CARE (NPI 1609467760) is a healthcare organization registered as a family medicine in Lake Wylie, South Carolina and active in the NPI registry since February 2021. The organization holds a CLIA Waiver certificate valid through February 15, 2027 and lists David Michael Oconnor, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Accepted 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)
Caromont Urgent Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
53Medicare enrollment records show 53 clinicians reassign Medicare billing to Caromont Urgent Care, which bills Medicare for the services they deliver. Of these, 16 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 11
Nearest to this location (20)
See all 53Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 42D2213658
Caromont Urgent Care-Lake Wylie · Lake Wylie, SCFrequently 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 Caromont Medical Group, Inc.'s NPI number?
The NPI number for Caromont Medical Group, Inc. is 1609467760. It was assigned to this organization in the NPPES registry on February 1, 2021. The provider is doing business as Caromont Urgent Care.
Where is Caromont Medical Group, Inc. located?
Caromont Medical Group, Inc. is located at 1201 Village Harbor Dr Ste 104, Lake Wylie, SC 29710. The listed phone number is (803) 831-6859.
What is Caromont Medical Group, Inc.'s specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Caromont Medical Group, Inc. enrolled in Medicare?
Yes. Caromont Medical Group, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Caromont Medical Group, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 53 clinicians in 11 Medicare specialties reassign their Medicare billing to Caromont Medical Group, Inc.. 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. The largest specialties are Nurse Practitioner (23), Obstetrics/Gynecology (8) and Family Practice (7). Of these, 16 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Caromont Medical Group, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 42D2213658) is associated with this NPI, valid through February 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Caromont Medical Group, Inc. accept?
Health plans from Blue Cross and Blue Shield of NC, BlueCross BlueShield of South Carolina, Oscar Health Plan of North Carolina, Inc and Oscar Health Plan, Inc. list Caromont Medical Group, 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 Caromont Medical Group, Inc. was last updated on August 9, 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.
# Caromont Urgent Care · NPI 1609467760
Family Medicine organization in Lake Wylie, South Carolina. Organization record, active in the CMS NPPES registry since February 1, 2021.
## Identity
- **NPI:** 1609467760 (Entity type: Organization)
- **Enumerated:** February 1, 2021
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Caromont Medical Group, Inc.
- **Organization subpart:** Yes (part of Caromont Medical Group Inc)
- **Authorized official:** David Oconnor, CFO
## Practice location
- **Address:** 1201 VILLAGE HARBOR DR STE 104, Lake Wylie, SC 29710-9276
- **Phone:** (803) 831-6859 · **Fax:** (803) 831-6860
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 53 clinicians in 11 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (23), Obstetrics/Gynecology (8), Family Practice (7); 16 practice within 10 miles; [full list](https://npiprofile.com/npi/1609467760/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 9, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1609467760) · Data from the CMS NPPES public registry.