HALO PRIMARY CARE, LLC
NPI 1639844509
Nurse Practitioner - Primary Care in Okatie, SC
About Halo Primary Care, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HALO PRIMARY CARE, LLC (NPI 1639844509) is a healthcare organization registered as a primary care in Okatie, South Carolina and active in the NPI registry since August 2021. The organization holds a CLIA Waiver certificate valid through February 29, 2028 and lists Bethany Gaultney, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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 42D2254141
Halo Primary Care, LLC · Okatie, SCOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Halo Primary Care, LLC's NPI number?
The NPI number for Halo Primary Care, LLC is 1639844509. It was assigned to this organization in the NPPES registry on August 12, 2021.
Where is Halo Primary Care, LLC located?
Halo Primary Care, LLC is located at 40 Okatie Ctr Blvd Ste 215, Okatie, SC 29909. The listed phone number is (256) 453-6074.
What is Halo Primary Care, LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Does Halo Primary Care, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 42D2254141) is associated with this NPI, valid through February 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Halo Primary Care, LLC was last updated on October 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.
