CARESOUTH CAROLINA, INC.
NPI 1720082571
Clinic/Center - Federally Qualified Health Center (FQHC) in Hartsville, SC

Active since June 09, 2005CLIA Certified · 3 labs
1268 S 4TH ST, HARTSVILLE, SC 29550(843) 332-3422 Get Directions Write a Review

NPPES record last updated: September 4, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1720082571
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCARESOUTH CAROLINA, INC.
Location Address1268 S 4TH STHartsville, SC 29550-0703
Mailing Address201 S 5th StHartsville, SC 29550-4211
Organization SubpartNo
Authorized OfficialAnn LewisCeo · (843) 857-0111
Enumeration DateJune 9, 2005
Last NPPES UpdateSeptember 4, 2007
NPI 1720082571 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
1268 S 4TH ST, Hartsville, SC 29550

Other Identifiers 4

MedicaidFQC015SC
MedicaidCBP011SC
Medicare PIN4784SC
Medicare OSCAR/certification421846SC

Accepted Insurance

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, SC
Active · expires Feb 3, 2028
CLIA Number42D2338052
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateFebruary 4, 2026
Certificate Expiration DateFebruary 3, 2028
Laboratory DirectorRandall M. Carlyle
Laboratory Phone(843) 332-3422
Laboratory LocationCaresouth Carolina Inc Hartsville- Suite B1268 S 4th Street, Hartsville, SC 29550
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 42D0875468

Caresouth Carolina Inc- Hartsville Center · Hartsville, SC
Active · expires Apr 14, 2028
CLIA Number42D0875468
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateApril 15, 2026
Certificate Expiration DateApril 14, 2028
Laboratory DirectorDr. Randall M. Carlyle
Laboratory Phone(843) 332-3422
Laboratory LocationCaresouth Carolina Inc- Hartsville Center1268 South Fourth Street, Suite A PO Box 909, Hartsville, SC 29550
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 42D2003519

Caresouth Carolina Inc Hartsville Pediatrics · Hartsville, SC
Active · expires Feb 10, 2028
CLIA Number42D2003519
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateFebruary 11, 2026
Certificate Expiration DateFebruary 10, 2028
Laboratory DirectorRandall M. Carlyle
Laboratory Phone(843) 332-3422
Laboratory LocationCaresouth Carolina Inc Hartsville Pediatrics1268 South Fourth St, Suite C PO Box 909, Hartsville, SC 29550
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner (Family)
1268 S 4TH ST
HARTSVILLE, SC 29550
Nurse Practitioner (Family)
1268 S 4TH ST
HARTSVILLE, SC 29550
Nurse Practitioner (Family)
1268 S 4TH ST
HARTSVILLE, SC 29550
Social Worker (Clinical)
1268 S 4TH ST
HARTSVILLE, SC 29550
Pharmacist
1268 S 4TH ST
HARTSVILLE, SC 29550
Counselor (Mental Health)
1268 S 4TH ST
HARTSVILLE, SC 29550
Nurse Practitioner (Pediatrics)
1268 S 4TH ST
HARTSVILLE, SC 29550
Nurse Practitioner (Family)
1268 S 4TH ST
HARTSVILLE, SC 29550

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 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.

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 from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and InStil Health and 1 other insurer 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 18 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.