CARESOUTH CAROLINA, INC
NPI 1629015755
Clinic/Center - Federally Qualified Health Center (FQHC) in Chesterfield, SC
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
Specialties & Licenses 2
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Caresouth Carolina, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 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.
Clinicians Billing Medicare Through This Organization
95Medicare enrollment records show 95 clinicians reassign Medicare billing to Caresouth Carolina, Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 16 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 14
Nearest to this location (20)
See all 95Source: 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 42D1041449
Caresouth Carolina Inc · Chesterfield, 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 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.
Is Caresouth Carolina, Inc enrolled in Medicare?
Yes. Caresouth Carolina, Inc is registered in the Medicare PECOS enrollment system.
When is Caresouth Carolina, 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 October 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.
How many clinicians bill Medicare through Caresouth Carolina, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 95 clinicians in 14 Medicare specialties reassign their Medicare billing to Caresouth Carolina, 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 (43), Clinical Social Worker (13) and Mental Health Counselor (11). Of these, 1 practice at this address and 16 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.
# Caresouth Carolina, Inc · NPI 1629015755
Federally Qualified Health Center (FQHC) organization in Chesterfield, South Carolina. Organization record, active in the CMS NPPES registry since May 31, 2006.
## Identity
- **NPI:** 1629015755 (Entity type: Organization)
- **Enumerated:** May 31, 2006
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Organization subpart:** No
- **Authorized official:** Ann Lewis, CEO
## Practice location
- **Address:** 204 PERRY WILEY WAY, Chesterfield, SC 29709-5701
- **Phone:** (843) 623-5080
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (Part A, South Carolina, Federally Qualified Health Center (FQHC)) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 95 clinicians in 14 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (43), Clinical Social Worker (13), Mental Health Counselor (11); 1 practice at this address and 16 within 10 miles; [full list](https://npiprofile.com/npi/1629015755/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 21, 2026
- **Other identifiers:** Medicaid FQC064 (SC); Medicaid CBP012 (SC)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1629015755) · Data from the CMS NPPES public registry.