FOOTHILLS FAMILY MEDICINE OF WESTMINSTER PA
NPI 1710958210
Preferred Provider Organization in Westminster, SC

Active since February 01, 2006CLIA 42D0725576 · Certificate of Compliance
111 W MAIN ST, WESTMINSTER, SC 29693(864) 647-1820(864) 647-0403 Get Directions Write a Review

NPPES record last updated: October 29, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Foothills Family Medicine Of Westminster Pa NPPES

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

FOOTHILLS FAMILY MEDICINE OF WESTMINSTER PA (NPI 1710958210) is a healthcare organization registered as a preferred provider organization in Westminster, South Carolina and active in the NPI registry since February 2006. The organization holds a CLIA Certificate of Compliance certificate valid through July 21, 2028 and lists Shannon Dickson, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1710958210
Entity TypeOrganization
Primary Taxonomy305R00000X
Legal Business NameFOOTHILLS FAMILY MEDICINE OF WESTMINSTER PA
Location Address111 W MAIN STWestminster, SC 29693-1668
Mailing Address111 W Main StWestminster, SC 29693-1668 · (864) 647-1820 · Fax (864) 647-0403
Fax(864) 647-0403
Organization SubpartNo
Authorized OfficialShannon DicksonBilling Manager · (864) 647-1820
Enumeration DateFebruary 1, 2006
Last NPPES UpdateOctober 29, 2025
NPPES CertifiedOctober 29, 2025
✔ NPI 1710958210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations
Taxonomy Code305R00000X
License✔ Licensed in SC · 11770
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
111 W MAIN ST, Westminster, SC 29693

Other Identifiers 1

Medicaid117705SC

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)

Foothills Family Medicine Of Westminster Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Foothills Family Medicine Of Westminster PA, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Nurse Practitioner
NPI 1952337487
111 W MAIN ST
Westminster, SC 29693
(864) 647-1820
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1053313635
111 W MAIN ST
Westminster, SC 29693
(864) 647-1820
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1275110504
111 W MAIN ST
Westminster, SC 29693
(864) 647-1820
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1881057644
1301 TAYLOR ST
Columbia, SC 29201
(803) 296-5914
✔ PECOS126 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 Compliance 42D0725576

Foothills Family Medicine Of Westminister · Westminster, SC
Active · expires Jul 21, 2028
CLIA Number42D0725576
Laboratory TypePhysician Office
Certificate Effective DateJuly 22, 2026
Certificate Expiration DateJuly 21, 2028
Laboratory DirectorPaul A. Stewart
Laboratory Phone(864) 647-1820
Laboratory LocationFoothills Family Medicine Of Westminister111 West Main Street, Westminster, SC 29693
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Foothills Family Medicine Of Westminster PA's NPI number?

The NPI number for Foothills Family Medicine Of Westminster PA is 1710958210. It was assigned to this organization in the NPPES registry on February 1, 2006.

Where is Foothills Family Medicine Of Westminster PA located?

Foothills Family Medicine Of Westminster PA is located at 111 W Main St, Westminster, SC 29693. The listed phone number is (864) 647-1820.

What is Foothills Family Medicine Of Westminster PA's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

Is Foothills Family Medicine Of Westminster PA enrolled in Medicare?

Yes. Foothills Family Medicine Of Westminster PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Foothills Family Medicine Of Westminster PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Foothills Family Medicine Of Westminster 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, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Foothills Family Medicine Of Westminster PA hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 42D0725576) is associated with this NPI, valid through July 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Foothills Family Medicine Of Westminster PA accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and Molina Healthcare list Foothills Family Medicine Of Westminster 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 Foothills Family Medicine Of Westminster PA was last updated on October 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.