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CAROLINA CHILDREN'S CLINIC, LLC
NPI 1649915216
Clinic/Center - Urgent Care in Boiling Springs, SC

Active since April 28, 2022CLIA 42D2269731 · Waiver
316 VILLAGE CREEK DR, BOILING SPRINGS, SC 29316(864) 327-9003 Get Directions Write a Review

NPPES record last updated: January 30, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 30, 2023, Apr 28, 2022 (2 updates tracked since 2022).

About Carolina Children's Clinic, Llc NPPES

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

CAROLINA CHILDREN'S CLINIC, LLC (NPI 1649915216) is a healthcare organization registered as an urgent care in Boiling Springs, South Carolina and active in the NPI registry since April 2022. The organization holds a CLIA Waiver certificate valid through October 2, 2026 and lists David 'carson' Moore, Owner/authorized Official, as its authorized official.

NPPES Registry Identity

NPI1649915216
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameCAROLINA CHILDREN'S CLINIC, LLC
Location Address316 VILLAGE CREEK DRBoiling Springs, SC 29316-5387
Mailing Address316 Village Creek DrBoiling Springs, SC 29316-5387 · (864) 327-9003
Phone(864) 327-9003
Organization SubpartNo
Authorized OfficialDavid 'carson' MooreOwner/authorized Official · (843) 324-7575
Enumeration DateApril 28, 2022
Last NPPES UpdateJanuary 30, 20232 updates tracked since enumeration
NPPES CertifiedOctober 30, 2022
✔ NPI 1649915216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
Also ListedFamily Medicine · Adolescent MedicineTaxonomy 207QA0000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedPediatrics · Adolescent MedicineTaxonomy 2080A0000X
316 VILLAGE CREEK DR, Boiling Springs, SC 29316
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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, Molina Healthcare.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 42D2269731

Carolina Children's Clinic · Boiling Springs, SC
Active · expires Oct 2, 2026
CLIA Number42D2269731
Laboratory TypePractitioner Other
Certificate Effective DateOctober 3, 2024
Certificate Expiration DateOctober 2, 2026
Laboratory DirectorMr. David Carson Moore
Laboratory Phone(843) 324-7575
Laboratory LocationCarolina Children's Clinic316 Village Creek Drive, Boiling Springs, SC 29316
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 3

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

REBECCA JOY BROWN PNP
Nurse Practitioner (Pediatrics)
316 VILLAGE CREEK DR
BOILING SPRINGS, SC 29316
Spartanburg County (864) 327-9003
CARSON MOORE LLC
Physician Assistant
316 VILLAGE CREEK DR
BOILING SPRINGS, SC 29316
Spartanburg County (843) 324-7575
DAVID CARSON MOORE
Physician Assistant (Medical)
316 VILLAGE CREEK DR
BOILING SPRINGS, SC 29316
Spartanburg County (864) 327-9003

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 Carolina Children's Clinic, LLC's NPI number?

The NPI number for Carolina Children's Clinic, LLC is 1649915216. It was assigned to this organization in the NPPES registry on April 28, 2022.

Where is Carolina Children's Clinic, LLC located?

Carolina Children's Clinic, LLC is located at 316 Village Creek Dr, Boiling Springs, SC 29316. The listed phone number is (864) 327-9003.

What is Carolina Children's Clinic, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Does Carolina Children's Clinic, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2269731) is associated with this NPI, valid through October 2, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Carolina Children's Clinic, LLC accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and Molina Healthcare list Carolina Children's Clinic, 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 Carolina Children's Clinic, LLC was last updated on January 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.