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CAROLINE MBONGO
NPI 1639920341
Student in an Organized Health Care Education/Training Program in Conway, SC

Active since March 29, 2024PECOS Enrolled
300 SINGLETON RIDGE ROAD, CONWAY, SC 29526(843) 347-8134 Get Directions Write a Review

NPPES record last updated: March 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Caroline Mbongo NPPES

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

CAROLINE MBONGO (NPI 1639920341) is an individual student in an organized health care education/training program in Conway, South Carolina and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639920341
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameCAROLINE MBONGO
Location Address300 SINGLETON RIDGE ROADConway, SC 29526
Mailing Address300 Singleton Ridge RoadConway, SC 29526 · (843) 347-8134
Phone(843) 347-8134
Sole ProprietorNo
Enumeration DateMarch 29, 2024
NPPES CertifiedMarch 29, 2024
✔ NPI 1639920341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
300 SINGLETON RIDGE ROAD, Conway, SC 29526
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Caroline Mbongo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 11

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

NAJLA ITANI MD
Internal Medicine (Hematology & Oncology)
300 SINGLETON RIDGE ROAD
CONWAY, SC 29526
Horry County (843) 347-8050
CONWAY HOSPITAL, INC.
Rehabilitation Unit
300 SINGLETON RIDGE ROAD
CONWAY, SC 29526
Horry County (843) 347-8398
DR. IHOR V MELNYTSKYY M.D.
Anesthesiology
300 SINGLETON RIDGE ROAD, CONWAY MEDICAL CENTER
CONWAY, SC 29526
Horry County (843) 347-7111
AARON TOLLEY
Student in an Organized Health Care Education/Training Program
300 SINGLETON RIDGE ROAD
CONWAY, SC 29526
Horry County (843) 347-8134
MAC EVERETT JOLLY DO
General Practice
300 SINGLETON RIDGE ROAD
CONWAY, SC 29526
Horry County (843) 347-8134
CONWAY HOSPITAL EMERGENCY PROFESSIONAL SERVICES
Emergency Medicine
300 SINGLETON RIDGE ROAD
CONWAY, SC 29526
Horry County (843) 347-7111
MS. NISHITHA REDDY THUMALLAPALLY MD
Internal Medicine (Hematology & Oncology)
300 SINGLETON RIDGE ROAD
CONWAY, SC 29526
Horry County (843) 347-8050
ANAM ALI SABZWARI MD
Family Medicine (Sleep Medicine)
300 SINGLETON RIDGE ROAD
CONWAY, SC 29526
Horry County (843) 347-8134

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 Caroline Mbongo's NPI number?

The NPI number for Caroline Mbongo is 1639920341. It was assigned to this individual provider in the NPPES registry on March 29, 2024.

Where is Caroline Mbongo located?

Caroline Mbongo practices at 300 Singleton Ridge Road, Conway, SC 29526. The listed phone number is (843) 347-8134.

What is Caroline Mbongo's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Caroline Mbongo enrolled in Medicare?

Yes. Caroline Mbongo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Caroline Mbongo was last updated on March 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.