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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

CARESOUTH CAROLINA, INC
NPI 1629015755
Clinic/Center - Federally Qualified Health Center (FQHC) in Chesterfield, SC

Active since May 31, 2006CLIA 42D1041449 · Waiver
204 PERRY WILEY WAY, CHESTERFIELD, SC 29709(843) 623-5080 Get Directions Write a Review

NPPES record last updated: July 21, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2026, Apr 16, 2021, Jan 29, 2021 (3 updates tracked since 2021).

About Caresouth Carolina, Inc NPPES

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

CARESOUTH CAROLINA, INC (NPI 1629015755) is a healthcare organization registered as a federally qualified health center (fqhc) in Chesterfield, South Carolina and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through January 13, 2028 and lists Ann Lewis, Ceo, as its authorized official.

NPPES Registry Identity

NPI1629015755
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCARESOUTH CAROLINA, INC
Location Address204 PERRY WILEY WAYChesterfield, SC 29709-5701
Mailing AddressPo Box 1090Hartsville, SC 29551-1090
Phone(843) 623-5080
Organization SubpartNo
Authorized OfficialAnn LewisCeo · (843) 857-0111
Enumeration DateMay 31, 2006
Last NPPES UpdateJuly 21, 20263 updates tracked since enumeration
NPPES CertifiedJuly 21, 2026
✔ NPI 1629015755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedClinic/Center · DentalTaxonomy 261QD0000X
204 PERRY WILEY WAY, Chesterfield, SC 29709
Open in Google Maps ↗

Other Identifiers 2

MedicaidFQC064SC
MedicaidCBP012SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and more.Insurance ›

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 42D1041449

Caresouth Carolina Inc · Chesterfield, SC
Active · expires Jan 13, 2028
CLIA Number42D1041449
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJanuary 14, 2026
Certificate Expiration DateJanuary 13, 2028
Laboratory DirectorRandall M. Carlyle
Laboratory Phone(843) 623-5080
Laboratory LocationCaresouth Carolina Inc204 Perry Wiley Way, Chesterfield, SC 29709
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

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

CYNTHIA H. GRIFFIN MA
Counselor (Mental Health)
204 PERRY WILEY WAY
CHESTERFIELD, SC 29709
Chesterfield County (843) 623-5080
DANA ROBINSON STEEN
Nurse Practitioner (Family)
204 PERRY WILEY WAY
CHESTERFIELD, SC 29709
Chesterfield County (843) 623-5080
CARESOUTH CAROLINA INC
Pharmacy (Community/Retail Pharmacy)
204 PERRY WILEY WAY
CHESTERFIELD, SC 29709
Chesterfield County (843) 927-1030
PAMELA L JONES-MONROE B.A., M.A.
Counselor (Mental Health)
204 PERRY WILEY WAY
CHESTERFIELD, SC 29709
Chesterfield County (843) 623-5080
SARAH KNIGHT APRN, ANP-BC
Nurse Practitioner (Adult Health)
204 PERRY WILEY WAY
CHESTERFIELD, SC 29709
Chesterfield County (843) 623-5080
KRISTEN MCQUEEN WRIGHT LMSW
Social Worker (Clinical)
204 PERRY WILEY WAY
CHESTERFIELD, SC 29709
Chesterfield County (843) 623-5080
MRS. LORA CHAVIS LPC
Counselor (Mental Health)
204 PERRY WILEY WAY
CHESTERFIELD, SC 29709
Chesterfield County (843) 623-5080
ANNA YAGER LPC
Counselor (Mental Health)
204 PERRY WILEY WAY
CHESTERFIELD, SC 29709
Chesterfield County (843) 623-5080

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 Caresouth Carolina, Inc's NPI number?

The NPI number for Caresouth Carolina, Inc is 1629015755. It was assigned to this organization in the NPPES registry on May 31, 2006.

Where is Caresouth Carolina, Inc located?

Caresouth Carolina, Inc is located at 204 Perry Wiley Way, Chesterfield, SC 29709. The listed phone number is (843) 623-5080.

What is Caresouth Carolina, Inc's specialty?

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

Does Caresouth Carolina, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D1041449) is associated with this NPI, valid through January 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Caresouth Carolina, Inc accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and InStil Health and 1 other insurer list Caresouth Carolina, 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 Caresouth Carolina, Inc was last updated on July 21, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.