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CENTERWELL SENIOR PRIMARY CARE (SC) PC
NPI 1740833938
Internal Medicine in Charleston, SC

Active since July 17, 2019CLIA 42D2170950 · Waiver
1401 SAM RITTENBERG BLVD STE 6, CHARLESTON, SC 29407(843) 973-5393(833) 994-1098 Get Directions Write a Review

NPPES record last updated: August 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 19, 2024, May 14, 2024, Nov 7, 2022 and 5 more (8 updates tracked since 2019).

About Centerwell Senior Primary Care (sc) Pc NPPES

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

CENTERWELL SENIOR PRIMARY CARE (SC) PC (NPI 1740833938), doing business as Partners In Primary Care Nc Pc, is a healthcare organization registered as an internal medicine in Charleston, South Carolina and active in the NPI registry since July 2019. The organization holds a CLIA Waiver certificate valid through August 21, 2027 and lists Angie Martinez, Senior Credentialing Professional, as its authorized official.

NPPES Registry Identity

NPI1740833938
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCENTERWELL SENIOR PRIMARY CARE (SC) PC
Location Address1401 SAM RITTENBERG BLVD STE 6Charleston, SC 29407-5031
Mailing Address6101 Blue Lagoon Dr Ste 200Miami, FL 33126-3168 · (305) 500-2000
Phone(843) 973-5393
Fax(833) 994-1098
Organization SubpartYes
Authorized OfficialAngie MartinezSenior Credentialing Professional · (407) 447-7120
Enumeration DateJuly 17, 2019
Last NPPES UpdateAugust 19, 20248 updates tracked since enumeration
NPPES CertifiedAugust 19, 2024
✔ NPI 1740833938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedGeneral PracticeTaxonomy 208D00000X
1401 SAM RITTENBERG BLVD STE 6, Charleston, SC 29407
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Other Names 4

Former Legal Business NamePartners In Primary Care Nc Pc
Doing Business AsCenterwell Senior Primary Care-west Ashley
Former Legal Business NamePart In Primary Care Sc Pc
Former Legal Business NamePartners In Primary Care- West Ashley

Other Identifiers 2

MedicaidGP9169SC
OtherL064SC · Medicare

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

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 42D2170950

Centerwell Senior Primary Care- West Ashley · Charleston, SC
Active · expires Aug 21, 2027
CLIA Number42D2170950
Laboratory TypePhysician Office
Certificate Effective DateAugust 22, 2025
Certificate Expiration DateAugust 21, 2027
Laboratory DirectorErica Savage-Jeter
Laboratory Phone(843) 973-5393
Laboratory LocationCenterwell Senior Primary Care- West Ashley1401 Sam Rittenberg Road Suite 6, Charleston, SC 29407
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 5

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

JOSEPHINE WALKER DION REDMOND PA-C
Physician Assistant
1401 SAM RITTENBERG BLVD STE 6
CHARLESTON, SC 29407
Charleston County (843) 973-5393
FAITH MAYZECK SHULER APRN
Nurse Practitioner
1401 SAM RITTENBERG BLVD STE 6
CHARLESTON, SC 29407
Charleston County (843) 973-5393
DR. THEODORE M PAPPAS M.D.
Family Medicine
1401 SAM RITTENBERG BLVD STE 6
CHARLESTON, SC 29407
Charleston County (843) 973-5393
HANNAH E MOORHEAD DNP
Nurse Practitioner (Family)
1401 SAM RITTENBERG BLVD STE 6
CHARLESTON, SC 29407
Charleston County (843) 973-5393
KAM W CHAN MD
Family Medicine
1401 SAM RITTENBERG BLVD STE 6
CHARLESTON, SC 29407
Charleston County (843) 973-5393

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 Centerwell Senior Primary Care (sc) PC's NPI number?

The NPI number for Centerwell Senior Primary Care (sc) PC is 1740833938. It was assigned to this organization in the NPPES registry on July 17, 2019. The provider is doing business as CenterWell Senior Primary Care-West Ashley. The provider was formerly known as Partners In Primary Care Nc PC, Part in Primary Care SC PC and Partners In Primary Care- West Ashley.

Where is Centerwell Senior Primary Care (sc) PC located?

Centerwell Senior Primary Care (sc) PC is located at 1401 Sam Rittenberg Blvd Ste 6, Charleston, SC 29407. The listed phone number is (843) 973-5393.

What is Centerwell Senior Primary Care (sc) PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Centerwell Senior Primary Care (sc) PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2170950) is associated with this NPI, valid through August 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Centerwell Senior Primary Care (sc) PC was last updated on August 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.