CAROLINA FAMILY PRACTICE P A
NPI 1760479620
Family Medicine in Hartsville, SC
About Carolina Family Practice P A NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CAROLINA FAMILY PRACTICE P A (NPI 1760479620) is a healthcare organization registered as a family medicine in Hartsville, South Carolina and active in the NPI registry since October 2005. The organization holds a CLIA Certificate of Compliance certificate valid through August 13, 2028 and lists Kenneth C Evans, Md/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
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)
Carolina Family Practice P A is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Carolina Family Practice P A, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 42D2349022
Carolina Family Practice PA · 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 Carolina Family Practice P A's NPI number?
The NPI number for Carolina Family Practice P A is 1760479620. It was assigned to this organization in the NPPES registry on October 5, 2005.
Where is Carolina Family Practice P A located?
Carolina Family Practice P A is located at 208 Swift Creek Rd, Hartsville, SC 29550. The listed phone number is (843) 383-0770.
What is Carolina Family Practice P A's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Carolina Family Practice P A enrolled in Medicare?
Yes. Carolina Family Practice P A is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Carolina Family Practice P A?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Carolina Family Practice P A, 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, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Carolina Family Practice P A hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 42D2349022) is associated with this NPI, valid through August 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Carolina Family Practice P A accept?
Health plans from BlueCross BlueShield of South Carolina and InStil Health list Carolina Family Practice P A 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 Carolina Family Practice P A was last updated on March 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Carolina Family Practice P A · NPI 1760479620
Family Medicine organization in Hartsville, South Carolina. Organization record, active in the CMS NPPES registry since October 5, 2005.
## Identity
- **NPI:** 1760479620 (Entity type: Organization)
- **Enumerated:** October 5, 2005
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Kenneth Evans, MD/OWNER
## Practice location
- **Address:** 208 SWIFT CREEK RD, Hartsville, SC 29550-4383
- **Phone:** (843) 383-0770 · **Fax:** (843) 383-5856
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Nurse Practitioner (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 6, 2015
- **Other identifiers:** Medicare UPIN B92146 (SC); Medicaid GP2918 (SC)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1760479620) · Data from the CMS NPPES public registry.