CAROLINA DIABETES & KIDNEY CENTER, LLC
NPI 1689128951
Internal Medicine - Endocrinology, Diabetes & Metabolism in Sumter, SC

Q: What is Carolina Diabetes & Kidney Center, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Active since August 04, 2016CLIA 42D0249060 · Accreditation

625 W WESMARK BLVD, SUMTER, SC 29150(803) 469-7950(803) 469-7548 Get Directions Write a Review

NPPES record last updated: August 4, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Carolina Diabetes & Kidney Center, Llc NPPES

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

CAROLINA DIABETES & KIDNEY CENTER, LLC (NPI 1689128951) is a healthcare organization registered as an endocrinology, diabetes & metabolism in Sumter, South Carolina and active in the NPI registry since August 2016. The organization holds an CLIA Accreditation certificate valid through December 22, 2027 and lists Usah Lilavivat, President, as its authorized official.

NPPES Registry Identity

NPI1689128951

Entity TypeOrganization

Primary Taxonomy207RE0101X

Legal Business NameCAROLINA DIABETES & KIDNEY CENTER, LLC

Location Address625 W WESMARK BLVDSumter, SC 29150-1900

Mailing Address625 W Wesmark BlvdSumter, SC 29150-1900 · (803) 469-7950 · Fax (803) 469-7548

Phone(803) 469-7950

Fax(803) 469-7548

Organization SubpartNo

Authorized OfficialUsah LilavivatPresident · (803) 469-7950

Enumeration DateAugust 4, 2016

✔ NPI 1689128951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians

Taxonomy Code207RE0101X

Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedInternal Medicine · Hypertension SpecialistTaxonomy 207RH0005X

Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X

Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X

Also ListedInternal Medicine · RheumatologyTaxonomy 207RR0500X

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedNurse PractitionerTaxonomy 363L00000X

625 W WESMARK BLVD, Sumter, SC 29150

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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.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 Accreditation 42D0249060

Carolina Diabetes & Kidney Center · Sumter, SC

Active · expires Dec 22, 2027

CLIA Number42D0249060

Laboratory TypePhysician Office

Certificate Effective DateDecember 23, 2025

Certificate Expiration DateDecember 22, 2027

Laboratory DirectorUsah Lilavivat

Laboratory Phone(803) 778-1891

Laboratory LocationCarolina Diabetes & Kidney Center625 West Wesmark Boulevard, Sumter, SC 29150

CLIA data matches this NPI record on: Address Name

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 5

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

BARBARA CARDEN APRN

Nurse Practitioner