FULL CIRCLE HEALTH LLC
NPI 1649029067
Nurse Practitioner - Family in Lugoff, SC

Active since May 17, 2024CLIA 42D2309854 · Waiver
1119 PEPPER RIDGE DR, LUGOFF, SC 29078(803) 669-5616 Get Directions Write a Review

NPPES record last updated: May 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Full Circle Health Llc NPPES

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

FULL CIRCLE HEALTH LLC (NPI 1649029067) is a healthcare organization registered as a family in Lugoff, South Carolina and active in the NPI registry since May 2024. The organization holds a CLIA Waiver certificate valid through August 21, 2026 and lists Christa Campbell Boss, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1649029067
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameFULL CIRCLE HEALTH LLC
Location Address1119 PEPPER RIDGE DRLugoff, SC 29078-9655
Mailing Address1119 Pepper Ridge DrLugoff, SC 29078-9655 · (803) 669-5616
Organization SubpartNo
Authorized OfficialChrista Campbell BossOwner/provider · (803) 669-5616
Enumeration DateMay 17, 2024
NPPES CertifiedMay 16, 2024
NPI 1649029067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
1119 PEPPER RIDGE DR, Lugoff, SC 29078

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

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 42D2309854

Full Circle Health, LLC · Lugoff, SC
Active · expires Aug 21, 2026
CLIA Number42D2309854
Laboratory TypeMobile Laboratory
Certificate Effective DateAugust 22, 2024
Certificate Expiration DateAugust 21, 2026
Laboratory DirectorChrista C. Boss
Laboratory Phone(803) 669-5616
Laboratory LocationFull Circle Health, LLC1119 Pepper Ridge Drive, Lugoff, SC 29078
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.

Nurse Practitioner (Family)
1119 PEPPER RIDGE DR
LUGOFF, SC 29078

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 Full Circle Health LLC's NPI number?

The NPI number for Full Circle Health LLC is 1649029067. It was assigned to this organization in the NPPES registry on May 17, 2024.

Where is Full Circle Health LLC located?

Full Circle Health LLC is located at 1119 Pepper Ridge Dr, Lugoff, SC 29078. The listed phone number is (803) 669-5616.

What is Full Circle Health LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Full Circle Health LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2309854) is associated with this NPI, valid through August 21, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Full Circle Health LLC accept?

Health plans from BlueCross BlueShield of South Carolina list Full Circle Health LLC 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 Full Circle Health LLC was last updated on May 17, 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.