PELZER URGENT CARE LLC
NPI 1619656352
Clinic/Center - Urgent Care in Pelzer, SC
About Pelzer Urgent Care Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PELZER URGENT CARE LLC (NPI 1619656352) is a healthcare organization registered as an urgent care in Pelzer, South Carolina and active in the NPI registry since July 2023. The organization holds a CLIA Waiver certificate valid through April 1, 2028 and lists Domodhar Nerella, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Pelzer Urgent Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
8Medicare enrollment records show 8 clinicians reassign Medicare billing to Pelzer Urgent Care LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (8)
Source: 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 42D2301848
Pelzer Urgent Care · Pelzer, SCPatient Reviews User submitted
Reviews are submitted by site visitors and approved by a human moderator before publication.
Review by Melissa ***** December 30, 2024
5/5Frequently 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 Pelzer Urgent Care LLC's NPI number?
The NPI number for Pelzer Urgent Care LLC is 1619656352. It was assigned to this organization in the NPPES registry on July 11, 2023.
Where is Pelzer Urgent Care LLC located?
Pelzer Urgent Care LLC is located at 323 Lebby St, Pelzer, SC 29669. The listed phone number is (864) 769-0210.
What is Pelzer Urgent Care LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.
Is Pelzer Urgent Care LLC enrolled in Medicare?
Yes. Pelzer Urgent Care LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Pelzer Urgent Care LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 2 Medicare specialties reassign their Medicare billing to Pelzer Urgent Care 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. The largest specialties are Nurse Practitioner (7) and Internal Medicine (1). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Pelzer Urgent Care LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 42D2301848) is associated with this NPI, valid through April 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Pelzer Urgent Care LLC accept?
Health plans from BlueCross BlueShield of South Carolina and Molina Healthcare list Pelzer Urgent Care 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 Pelzer Urgent Care LLC was last updated on June 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Pelzer Urgent Care Llc · NPI 1619656352
Urgent Care organization in Pelzer, South Carolina. Organization record, active in the CMS NPPES registry since July 11, 2023.
## Identity
- **NPI:** 1619656352 (Entity type: Organization)
- **Enumerated:** July 11, 2023
- **Primary specialty:** Clinic/Center - Urgent Care · taxonomy 261QU0200X
- **Organization subpart:** No
- **Authorized official:** Domodhar Nerella, ADMINISTRATOR
## Practice location
- **Address:** 323 LEBBY ST, Pelzer, SC 29669-1754
- **Phone:** (864) 769-0210 · **Fax:** (888) 498-4287
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 8 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (7), Internal Medicine (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 3, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1619656352) · Data from the CMS NPPES public registry.