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

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: October 18, 2026.

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
Open in Google Maps ↗

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 ›

Medicare Participation & PECOS CMS

Medicare enrollment 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).

Clinicians Billing Medicare Through This Organization

95

Medicare 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 14 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 14

Nurse Practitioner43
Clinical Social Worker13
Mental Health Counselor11
Family Practice7
Dentist6
Internal Medicine5
Ophthalmology3
Chiropractic1
6 other specialties6

Nearest to this location (20)

See all 95
Lauren Worsham, PNP
Nurse Practitioner
NPI 1134359029
210 W MAIN ST
Bennettsville, SC 29512
(843) 332-5121
✔ PECOSSame address
Zenaida Candela
Pediatric Medicine
NPI 1316051139
210 WEST MAIN STREET
Bennettsville, SC 29512
(843) 479-1200
✔ PECOS1.1 mi
Leandria Bivens, LISW-CP
Clinical Social Worker
NPI 1952944969
999 CHERAW ST
Bennettsville, SC 29512
(843) 479-2341
✔ PECOS✔ Accepts Medicare1.3 mi
Adam Gude, NP-C
Nurse Practitioner
NPI 1225482524
999 CHERAW ST
Bennettsville, SC 29512
(843) 479-2341
✔ PECOS✔ Accepts Medicare1.3 mi
Mariano Razon, DNP-C
Nurse Practitioner
NPI 1356844278
999 CHERAW ST
Bennettsville, SC 29512
(843) 479-2341
✔ PECOS✔ Accepts Medicare1.3 mi
Gilberto Sanchez, FNP
Nurse Practitioner
NPI 1588159628
999 CHERAW ST
Bennettsville, SC 29512
(843) 479-2341
✔ PECOS✔ Accepts Medicare1.3 mi
Patricia Weaver
Nurse Practitioner
NPI 1356456628
999 CHERAW ST
Bennettsville, SC 29512
(843) 479-2341
✔ PECOS✔ Accepts Medicare1.3 mi
Cindy Crittendon, DO
Obstetrics/Gynecology
NPI 1023017506
1076 MARLBORO WAY SUITE 1
Bennettsville, SC 29512
(843) 454-2294
✔ PECOS✔ Accepts Medicare1.6 mi
Tasha Smith, LISW-CP
Clinical Social Worker
NPI 1609532811
3080 HIGHWAY 15-401 E
Mc Coll, SC 29570
(843) 523-5751
✔ PECOS✔ Accepts Medicare7.2 mi
Earline Little, NURSE PRACTITIONER
Nurse Practitioner
NPI 1487073219
3080 HIGHWAY 15-401 E
Mc Coll, SC 29570
(843) 523-5751
✔ PECOS✔ Accepts Medicare7.3 mi
Sylvia Mckoy Watts, NP
Nurse Practitioner
NPI 1518070531
3080 HIGHWAY 15-401 E
Mc Coll, SC 29570
(843) 523-5751
✔ PECOS7.3 mi
Courtney Odom, FNP-C
Nurse Practitioner
NPI 1962095612
3080 HIGHWAY 15-401 E
Mc Coll, SC 29570
(843) 523-5751
✔ PECOS✔ Accepts Medicare7.3 mi
Kaitlyn Strawderman, FNP
Nurse Practitioner
NPI 1235959727
3080 HIGHWAY 15-401 E
Mc Coll, SC 29570
(843) 523-5751
✔ PECOS✔ Accepts Medicare7.3 mi
Tabitha Hennagan, LPC
Mental Health Counselor
NPI 1689981276
3080 HIGHWAY 15-401 E
Mc Coll, SC 29570
(843) 523-5751
✔ PECOS7.4 mi
Bradley Burgess, M.A..
Mental Health Counselor
NPI 1730480971
737 S MAIN ST
Society Hill, SC 29593
(843) 378-4501
✔ PECOS✔ Accepts Medicare13 mi
Michael Chandler, MD
Family Practice
NPI 1205937521
737 S MAIN ST
Society Hill, SC 29593
(843) 378-4501
✔ PECOS✔ Accepts Medicare13 mi
Ludie Floyd-Moore, LISW-CP
Clinical Social Worker
NPI 1497247241
737 S MAIN ST
Society Hill, SC 29593
(843) 378-4502
✔ PECOS✔ Accepts Medicare13 mi
Brandi Hair, DMD
Dentist
NPI 1568963593
737 S MAIN ST
Society Hill, SC 29593
(843) 857-0111
✔ PECOS13 mi
Jimmi Jones, FNP
Nurse Practitioner
NPI 1811382849
737 S MAIN ST
Society Hill, SC 29593
(843) 378-4501
✔ PECOS✔ Accepts Medicare13 mi
Douglas Cunningham, DPM
Podiatry
NPI 1699761874
812 STATE RD
Cheraw, SC 29520
(843) 537-0961
✔ PECOS✔ Accepts Medicare14 mi
See all 95 clinicians

Source: 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 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.

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.

Is Caresouth Carolina Inc enrolled in Medicare?

Yes. Caresouth Carolina Inc is registered in the Medicare PECOS enrollment system.

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 14 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 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.