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BALLENTINE PEDIATRICS, LLC
NPI 1629234141
Pediatrics - Adolescent Medicine in Irmo, SC

Active since August 04, 2008CLIA 42D1088197 · Waiver
11134 BROAD RIVER RD, SUITE D, IRMO, SC 29063(803) 732-0920(803) 227-2759 Get Directions Write a Review

NPPES record last updated: August 4, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ballentine Pediatrics, Llc NPPES

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

BALLENTINE PEDIATRICS, LLC (NPI 1629234141) is a healthcare organization registered as an adolescent medicine in Irmo, South Carolina and active in the NPI registry since August 2008. The organization holds a CLIA Waiver certificate valid through August 18, 2026 and lists Deanne Nicola Geurkink, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1629234141
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NameBALLENTINE PEDIATRICS, LLC
Location Address11134 BROAD RIVER RD, SUITE DIrmo, SC 29063-9668
Mailing Address11134 Broad River Rd, Suite DIrmo, SC 29063-9668 · (803) 732-0920 · Fax (803) 227-2759
Phone(803) 732-0920
Fax(803) 227-2759
Organization SubpartNo
Authorized OfficialDeanne Nicola GeurkinkOwner/provider · (803) 732-0920
Enumeration DateAugust 4, 2008
✔ NPI 1629234141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License✔ Licensed in SC · 19500
Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

11134 BROAD RIVER RD, Irmo, SC 29063
Open in Google Maps ↗

Other Identifiers 1

Medicaid195005SC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, Molina Healthcare.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 42D1088197

Ballentine Pediatrics,llc · Irmo, SC
Active · expires Aug 18, 2026
CLIA Number42D1088197
Laboratory TypePhysician Office
Certificate Effective DateAugust 19, 2024
Certificate Expiration DateAugust 18, 2026
Laboratory DirectorDr. Karen P. Pollock
Laboratory Phone(803) 732-0920
Laboratory LocationBallentine Pediatrics,llc11134 Broad River Rd #d, Irmo, SC 29063
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 4

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

DR. KAREN P POLLOCK M.D.
Pediatrics (Adolescent Medicine)
11134 BROAD RIVER RD, SUITE D
IRMO, SC 29063
Lexington County (803) 732-0920
THE LAB COLUMBIA LLC
Clinical Medical Laboratory
11134 BROAD RIVER RD, STE B PMB 1004
IRMO, SC 29063
Lexington County (314) 888-5630
DR. DEANNE N GEURKINK MD
Pediatrics (Adolescent Medicine)
11134 BROAD RIVER RD, SUITE D
IRMO, SC 29063
Lexington County (803) 732-0920
DR. JEFFERY DALE TOUCHET II D.C.
Chiropractor
11134 BROAD RIVER RD, STE C
IRMO, SC 29063
Lexington County (803) 781-0031

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 Ballentine Pediatrics, LLC's NPI number?

The NPI number for Ballentine Pediatrics, LLC is 1629234141. It was assigned to this organization in the NPPES registry on August 4, 2008.

Where is Ballentine Pediatrics, LLC located?

Ballentine Pediatrics, LLC is located at 11134 Broad River Rd Suite D, Irmo, SC 29063. The listed phone number is (803) 732-0920.

What is Ballentine Pediatrics, LLC's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Does Ballentine Pediatrics, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D1088197) is associated with this NPI, valid through August 18, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ballentine Pediatrics, LLC accept?

Health plans from BlueCross BlueShield of South Carolina and Molina Healthcare list Ballentine Pediatrics, 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 Ballentine Pediatrics, LLC was last updated on August 4, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.