SOUTH COMMUNITY INC
NPI 1639128176
Clinic/Center - Mental Health (Including Community Mental Health Center) in Moraine, OH
About South Community Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTH COMMUNITY INC (NPI 1639128176) is a healthcare organization registered as a mental health (including community mental health center) in Moraine, Ohio and active in the NPI registry since May 2006. The organization lists Lisa Carter, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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)
South Community Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
50Medicare enrollment records show 50 clinicians reassign Medicare billing to South Community Inc, which bills Medicare for the services they deliver. Of these, 38 practice at this address and 44 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 6
Nearest to this location (20)
See all 50Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 South Community Inc's NPI number?
The NPI number for South Community Inc is 1639128176. It was assigned to this organization in the NPPES registry on May 10, 2006.
Where is South Community Inc located?
South Community Inc is located at 3095 Kettering Blvd, Moraine, OH 45439. The listed phone number is (937) 293-8300.
What is South Community Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
Is South Community Inc enrolled in Medicare?
Yes. South Community Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through South Community Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 50 clinicians in 6 Medicare specialties reassign their Medicare billing to South Community 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 Mental Health Counselor (26), Clinical Social Worker (12) and Nurse Practitioner (5). Of these, 38 practice at this address and 44 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does South Community Inc accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list South Community 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 South Community Inc was last updated on May 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# South Community Inc · NPI 1639128176
Mental Health (Including Community Mental Health Center) organization in Moraine, Ohio. Organization record, active in the CMS NPPES registry since May 10, 2006.
## Identity
- **NPI:** 1639128176 (Entity type: Organization)
- **Enumerated:** May 10, 2006
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Lisa Carter, CEO
## Practice location
- **Address:** 3095 KETTERING BLVD, Moraine, OH 45439
- **Phone:** (937) 293-8300 · **Fax:** (937) 534-1353
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 50 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Mental Health Counselor (26), Clinical Social Worker (12), Nurse Practitioner (5); 38 practice at this address and 44 within 10 miles; [full list](https://npiprofile.com/npi/1639128176/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 31, 2023
- **Other identifiers:** Medicaid 0320870 (OH); Medicaid MC34-1000 (OH)
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Source: [NPI Profile](https://npiprofile.com/npi/1639128176) · Data from the CMS NPPES public registry.