THE PENDERGRASS FAMILY HEALTH CENTER
NPI 1639202922
Family Medicine in Ware Shoals, SC
About The Pendergrass Family Health Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THE PENDERGRASS FAMILY HEALTH CENTER (NPI 1639202922) is a healthcare organization registered as a family medicine in Ware Shoals, South Carolina and active in the NPI registry since March 2007. The organization lists Lisa Y Gilmer, Revenue Cycle Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 2
Other Identifiers 3
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)
The Pendergrass Family Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
24Medicare enrollment records show 24 clinicians reassign Medicare billing to The Pendergrass Family Health Center, which bills Medicare for the services they deliver. Of these, 1 practice at this address. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 3
Nearest to this location (20)
See all 24Greenville, SC 29605
Source: 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 Carolina Health Centers, Inc.'s NPI number?
The NPI number for Carolina Health Centers, Inc. is 1639202922. It was assigned to this organization in the NPPES registry on March 14, 2007. The provider is doing business as The Pendergrass Family Health Center and Ware Shoals Family Practice.
Where is Carolina Health Centers, Inc. located?
Carolina Health Centers, Inc. is located at 85 S Greenwood Ave, Ware Shoals, SC 29692. The listed phone number is (864) 456-7436.
What is Carolina Health Centers, Inc.'s specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Carolina Health Centers, Inc. enrolled in Medicare?
Yes. Carolina Health Centers, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Carolina Health Centers, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 24 clinicians in 3 Medicare specialties reassign their Medicare billing to Carolina Health Centers, 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 (13), Family Practice (9) and Mental Health Counselor (2). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Carolina Health Centers, Inc. accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and First Choice Next and 1 other insurer list Carolina Health Centers, 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 Carolina Health Centers, Inc. was last updated on October 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# The Pendergrass Family Health Center · NPI 1639202922
Family Medicine organization in Ware Shoals, South Carolina. Organization record, active in the CMS NPPES registry since March 14, 2007.
## Identity
- **NPI:** 1639202922 (Entity type: Organization)
- **Enumerated:** March 14, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Carolina Health Centers, Inc.
- **Also known as:** Ware Shoals Family Practice (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Lisa Gilmer, REVENUE CYCLE MANAGER
## Practice location
- **Address:** 85 S GREENWOOD AVE, Ware Shoals, SC 29692-1534
- **Phone:** (864) 456-7436 · **Fax:** (864) 456-2942
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 24 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (13), Family Practice (9), Mental Health Counselor (2); 1 practice at this address; [full list](https://npiprofile.com/npi/1639202922/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 24, 2018
- **Other identifiers:** Other =========005 (SC); Medicaid FQC019 (SC); Other =========011 (SC)
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Source: [NPI Profile](https://npiprofile.com/npi/1639202922) · Data from the CMS NPPES public registry.