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TANDEM HEALTH SC
NPI 1689447534
Clinic/Center - Federally Qualified Health Center (FQHC) in Pinewood, SC

Active since November 02, 2023CLIA 42D2294777 · Waiver
200 W. CLARK ST., PINEWOOD, SC 29125(803) 830-6184(803) 774-4626 Get Directions Write a Review

NPPES record last updated: December 11, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 11, 2024, Nov 2, 2023 (2 updates tracked since 2023).

About Tandem Health Sc NPPES

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

TANDEM HEALTH SC (NPI 1689447534) is a healthcare organization registered as a federally qualified health center (fqhc) in Pinewood, South Carolina and active in the NPI registry since November 2023. The organization holds a CLIA Waiver certificate valid through November 29, 2027 and lists Annie Brown, Ceo, as its authorized official.

NPPES Registry Identity

NPI1689447534
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameTANDEM HEALTH SC
Location Address200 W. CLARK ST.Pinewood, SC 29125-9998
Mailing Address550 S. Pike WestSumter, SC 29150-2616 · (803) 324-6975 · Fax (803) 324-6975
Phone(803) 830-6184
Fax(803) 774-4626
Organization SubpartNo
Authorized OfficialAnnie BrownCeo · (803) 774-4545
Enumeration DateNovember 2, 2023
Last NPPES UpdateDecember 11, 20242 updates tracked since enumeration
✔ NPI 1689447534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
200 W. CLARK ST., Pinewood, SC 29125
Open in Google Maps ↗

Other Identifiers 1

MedicaidFQC309SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina.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)

Tandem Health Sc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Tandem Health Sc, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Robert Etheridge, M.D.
Family Practice
NPI 1588007603
25 E CLARK ST
Pinewood, SC 29125
(803) 774-4500
✔ PECOS✔ Accepts Medicare0.2 mi
Efua Wilmot, DO
Pediatric Medicine
NPI 1871099564
370 S PIKE W
Sumter, SC 29150
(803) 774-7337
✔ PECOS✔ Accepts Medicare10 mi
Bhatraphol Tingpej, M.D.
Infectious Disease
NPI 1497919831
1278 N LAFAYETTE DR
Sumter, SC 29150
(803) 774-4500
✔ PECOS✔ Accepts Medicare13 mi
Allison Moses, MD
Hospitalist
NPI 1295939007
129 N WASHINGTON ST
Sumter, SC 29150
(803) 434-6771
✔ PECOS14 mi
David Turell, MD
Pediatric Medicine
NPI 1558321109
370 S PIKE W
Sumter, SC 29150
(803) 774-4500
✔ PECOS16 mi
Brittany Osteen, APRN
Nurse Practitioner
NPI 1154813780
111 DOCTOR CIR
Columbia, SC 29203
(800) 491-0909
✔ PECOS✔ Accepts Medicare38 mi

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 42D2294777

Tandem Health · Pinewood, SC
Active · expires Nov 29, 2027
CLIA Number42D2294777
Laboratory TypeSchool/Student Health Service
Certificate Effective DateNovember 30, 2025
Certificate Expiration DateNovember 29, 2027
Laboratory DirectorDr. Bhatraphol Tingpej
Laboratory Phone(803) 774-4647
Laboratory LocationTandem HealthManchester Elementary School 200 W Clark Street, Pinewood, SC 29125
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Tandem Health Sc's NPI number?

The NPI number for Tandem Health Sc is 1689447534. It was assigned to this organization in the NPPES registry on November 2, 2023.

Where is Tandem Health Sc located?

Tandem Health Sc is located at 200 W. Clark St., Pinewood, SC 29125. The listed phone number is (803) 830-6184.

What is Tandem Health Sc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Tandem Health Sc enrolled in Medicare?

Yes. Tandem Health Sc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tandem Health Sc?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians reassign their Medicare billing to Tandem Health Sc, in Family Practice, Hospitalist, Infectious Disease, Nurse Practitioner and Pediatric Medicine. 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, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Tandem Health Sc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2294777) is associated with this NPI, valid through November 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Tandem Health Sc accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care and Ambetter of North Carolina list Tandem Health Sc 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 Tandem Health Sc was last updated on December 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.