CARESOUTH CAROLINA INC
NPI 1639458672
Clinic/Center - Federally Qualified Health Center (FQHC) in Bennettsville, SC

Q: What is Caresouth Carolina Inc's NPI number?

The NPI number for Caresouth Carolina Inc is 1639458672. It was assigned to this organization in the NPPES registry on August 9, 2011.

Q: 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.

Active since August 09, 2011CLIA 42D1024216 · Waiver

210 W MAIN ST, BENNETTSVILLE, SC 29512(843) 479-1200(843) 479-1230 Get Directions Write a Review

NPPES record last updated: March 21, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Caresouth Carolina Inc NPPES

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

CARESOUTH CAROLINA INC (NPI 1639458672) is a healthcare organization registered as a federally qualified health center (fqhc) in Bennettsville, South Carolina and active in the NPI registry since August 2011. The organization holds a CLIA Waiver certificate valid through April 5, 2028 and lists Ann M Lewis, Ceo, as its authorized official.

NPPES Registry Identity

NPI1639458672

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameCARESOUTH CAROLINA INC

Location Address210 W MAIN STBennettsville, SC 29512-3122

Mailing AddressPo Box 1090Hartsville, SC 29551-1090 · (843) 857-0111

Phone(843) 479-1200

Fax(843) 479-1230

Organization SubpartNo

Authorized OfficialAnn M LewisCeo · (843) 857-0111

Enumeration DateAugust 9, 2011

Last NPPES UpdateMarch 21, 2012

✔ NPI 1639458672 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 ListedPediatricsTaxonomy 208000000X

210 W MAIN ST, Bennettsville, SC 29512

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Other Identifiers 2

Medicare PIN42-1948SC

MedicaidFQC093SC

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 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 42D1024216

Caresouth Carolina Pediatrics · Bennettsville, SC

Active · expires Apr 5, 2028

CLIA Number42D1024216

Laboratory TypeFederally Qualified Health Center

Certificate Effective DateApril 6, 2026

Certificate Expiration DateApril 5, 2028

Laboratory DirectorRandall M. Carlyle

Laboratory Phone(843) 479-1200

Laboratory LocationCaresouth Carolina Pediatrics210 West Main Street PO Box 1076, Bennettsville, SC 29512

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

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

LAUREN NICOLE WORSHAM PNP

Nurse Practitioner (Pediatrics)

210 W MAIN ST
BENNETTSVILLE, SC 29512

Marlboro County (843) 332-5121

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 1639458672. It was assigned to this organization in the NPPES registry on August 9, 2011.

Where is Caresouth Carolina Inc located?

Caresouth Carolina Inc is located at 210 W Main St, Bennettsville, SC 29512. The listed phone number is (843) 479-1200.

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 42D1024216) is associated with this NPI, valid through April 5, 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 March 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.