CARESOUTH CAROLINA, INC.
NPI 1720082571
Clinic/Center - Federally Qualified Health Center (FQHC) in Hartsville, SC
About Caresouth Carolina, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARESOUTH CAROLINA, INC. (NPI 1720082571) is a healthcare organization registered as a federally qualified health center (fqhc) in Hartsville, South Carolina and active in the NPI registry since June 2005. The organization holds 3 active CLIA laboratory certificates and lists Ann Lewis, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
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)
Caresouth Carolina, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
95Medicare enrollment records show 95 clinicians reassign Medicare billing to Caresouth Carolina, Inc., which bills Medicare for the services they deliver. Of these, 24 practice at this address and 25 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 14
Nearest to this location (20)
See all 95Source: 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 3
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 42D2338052
Caresouth Carolina Inc Hartsville- Suite B · Hartsville, SCCertificate of Waiver 42D0875468
Caresouth Carolina Inc- Hartsville Center · Hartsville, SCCertificate of Waiver 42D2003519
Caresouth Carolina Inc Hartsville Pediatrics · Hartsville, SCFrequently 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 Caresouth Carolina, Inc.'s NPI number?
The NPI number for Caresouth Carolina, Inc. is 1720082571. It was assigned to this organization in the NPPES registry on June 9, 2005.
Where is Caresouth Carolina, Inc. located?
Caresouth Carolina, Inc. is located at 1268 S 4th St, Hartsville, SC 29550. The listed phone number is (843) 332-3422.
What is Caresouth Carolina, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Caresouth Carolina, Inc. enrolled in Medicare?
Yes. Caresouth Carolina, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Caresouth Carolina, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 95 clinicians in 14 Medicare specialties reassign their Medicare billing to Caresouth Carolina, Inc.. 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. The largest specialties are Nurse Practitioner (43), Clinical Social Worker (13) and Mental Health Counselor (11). Of these, 24 practice at this address and 25 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Caresouth Carolina, Inc. hold CLIA laboratory certificates?
Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Caresouth Carolina, Inc. accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and First Choice Next and 2 other insurers list Caresouth Carolina, Inc. 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 Caresouth Carolina, Inc. was last updated on September 4, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Caresouth Carolina, Inc. · NPI 1720082571
Federally Qualified Health Center (FQHC) organization in Hartsville, South Carolina. Organization record, active in the CMS NPPES registry since June 9, 2005.
## Identity
- **NPI:** 1720082571 (Entity type: Organization)
- **Enumerated:** June 9, 2005
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Organization subpart:** No
- **Authorized official:** Ann Lewis, CEO
## Practice location
- **Address:** 1268 S 4TH ST, Hartsville, SC 29550-0703
- **Phone:** (843) 332-3422
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 95 clinicians in 14 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (43), Clinical Social Worker (13), Mental Health Counselor (11); 24 practice at this address and 25 within 10 miles; [full list](https://npiprofile.com/npi/1720082571/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 4, 2007
- **Other identifiers:** Medicaid FQC015 (SC); Medicaid CBP011 (SC); Medicare PIN 4784 (SC); and 1 more
- **CLIA laboratory certificates:** 3 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1720082571) · Data from the CMS NPPES public registry.