CAROLINA INDEPENDENT ID, LLC
NPI 1659712800
Specialist in Mt Pleasant, SC

Active since July 16, 2013
1200 HOSPITAL DR, MT PLEASANT, SC 29464(843) 270-9518 Get Directions Write a Review

NPPES record last updated: July 16, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Carolina Independent Id, Llc NPPES

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

CAROLINA INDEPENDENT ID, LLC (NPI 1659712800) is a healthcare organization registered as a specialist in Mt Pleasant, South Carolina and active in the NPI registry since July 2013. The organization lists James Gregory Thomas, Owner, as its authorized official.

NPPES Registry Identity

NPI1659712800
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCAROLINA INDEPENDENT ID, LLC
Location Address1200 HOSPITAL DRMt Pleasant, SC 29464-3251
Mailing Address1050 Johnnie Dodds Blvd, #793Mt Pleasant, SC 29465-2801 · (843) 270-9518
Organization SubpartNo
Authorized OfficialJames Gregory ThomasOwner · (843) 270-9518
Enumeration DateJuly 16, 2013
✔ NPI 1659712800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in SC · 20983
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1200 HOSPITAL DR, Mt Pleasant, SC 29464

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

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 Independent Id, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Carolina Independent Id, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1114923950
316 CALHOUN ST
Charleston, SC 29401
(843) 724-2450
✔ PECOS✔ Accepts Medicare5.9 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Independent Id, LLC's NPI number?

The NPI number for Carolina Independent Id, LLC is 1659712800. It was assigned to this organization in the NPPES registry on July 16, 2013.

Where is Carolina Independent Id, LLC located?

Carolina Independent Id, LLC is located at 1200 Hospital Dr, Mt Pleasant, SC 29464. The listed phone number is (843) 270-9518.

What is Carolina Independent Id, LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Carolina Independent Id, LLC enrolled in Medicare?

Yes. Carolina Independent Id, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Carolina Independent Id, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Carolina Independent Id, LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Carolina Independent Id, LLC was last updated on July 16, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.