CAROLINA FAMILY MEDICINE OF LAURENS COUNTY PA
NPI 1649470964
Clinic/Center in Clinton, SC
About Carolina Family Medicine Of Laurens County Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CAROLINA FAMILY MEDICINE OF LAURENS COUNTY PA (NPI 1649470964) is a healthcare organization registered as a clinic/center in Clinton, South Carolina and active in the NPI registry since July 2007. The organization holds a CLIA Waiver certificate valid through August 12, 2028 and lists Michelle L Hagenbuch, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted 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)
Carolina Family Medicine Of Laurens County Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Carolina Family Medicine Of Laurens County PA, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
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 42D1002700
Carolina Family Medicine Of Laurens Co · Clinton, SCFrequently 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 Carolina Family Medicine Of Laurens County PA's NPI number?
The NPI number for Carolina Family Medicine Of Laurens County PA is 1649470964. It was assigned to this organization in the NPPES registry on July 24, 2007.
Where is Carolina Family Medicine Of Laurens County PA located?
Carolina Family Medicine Of Laurens County PA is located at 300 Plaza Cir Ste E, Clinton, SC 29325. The listed phone number is (864) 938-9690.
What is Carolina Family Medicine Of Laurens County PA's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Carolina Family Medicine Of Laurens County PA enrolled in Medicare?
Yes. Carolina Family Medicine Of Laurens County PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Carolina Family Medicine Of Laurens County PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Carolina Family Medicine Of Laurens County PA, in Family Practice and Nurse Practitioner. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Carolina Family Medicine Of Laurens County PA hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 42D1002700) is associated with this NPI, valid through August 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Carolina Family Medicine Of Laurens County PA accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and Molina Healthcare list Carolina Family Medicine Of Laurens County PA 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 Carolina Family Medicine Of Laurens County PA was last updated on January 25, 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.
# Carolina Family Medicine Of Laurens County Pa · NPI 1649470964
Clinic/Center organization in Clinton, South Carolina. Organization record, active in the CMS NPPES registry since July 24, 2007.
## Identity
- **NPI:** 1649470964 (Entity type: Organization)
- **Enumerated:** July 24, 2007
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** Michelle Hagenbuch, PRESIDENT
## Practice location
- **Address:** 300 PLAZA CIR STE E, Clinton, SC 29325-7557
- **Phone:** (864) 938-9690 · **Fax:** (864) 833-9039
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Nurse Practitioner (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 25, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1649470964) · Data from the CMS NPPES public registry.