HENRIETTA JOHNSON MEDICAL CENTER CLAYMONT
NPI 1760874549
Clinic/Center - Federally Qualified Health Center (FQHC) in Claymont, DE
About Henrietta Johnson Medical Center Claymont NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HENRIETTA JOHNSON MEDICAL CENTER CLAYMONT (NPI 1760874549) is a healthcare organization registered as a federally qualified health center (fqhc) in Claymont, Delaware and active in the NPI registry since March 2015. The organization lists Nachet Scott, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Henrietta Johnson Medical Center Claymont is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
12Medicare enrollment records show 12 clinicians reassign Medicare billing to Henrietta Johnson Medical Center Claymont, which bills Medicare for the services they deliver. Of these, 7 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (12)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Southbridge Medical Advisory Council, Inc.'s NPI number?
The NPI number for Southbridge Medical Advisory Council, Inc. is 1760874549. It was assigned to this organization in the NPPES registry on March 3, 2015. The provider is doing business as Henrietta Johnson Medical Center Claymont.
Where is Southbridge Medical Advisory Council, Inc. located?
Southbridge Medical Advisory Council, Inc. is located at 2722 Philadelphia Pike, Claymont, DE 19703. The listed phone number is (302) 655-6187.
What is Southbridge Medical Advisory Council, 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 Southbridge Medical Advisory Council, Inc. enrolled in Medicare?
Yes. Southbridge Medical Advisory Council, Inc. is registered in the Medicare PECOS enrollment system.
When is Southbridge Medical Advisory Council, Inc.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Delaware, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Southbridge Medical Advisory Council, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 4 Medicare specialties reassign their Medicare billing to Southbridge Medical Advisory Council, 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 (8), Family Practice (2) and Clinical Social Worker (1). Of these, 7 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Southbridge Medical Advisory Council, Inc. accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and AmeriHealth Caritas Next and 1 other insurer list Southbridge Medical Advisory Council, 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 Southbridge Medical Advisory Council, Inc. was last updated on May 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Henrietta Johnson Medical Center Claymont · NPI 1760874549
Federally Qualified Health Center (FQHC) organization in Claymont, Delaware. Organization record, active in the CMS NPPES registry since March 3, 2015.
## Identity
- **NPI:** 1760874549 (Entity type: Organization)
- **Enumerated:** March 3, 2015
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Southbridge Medical Advisory Council, Inc.
- **Organization subpart:** Yes (part of Southbridge Medical Advisory Council, Inc.)
- **Authorized official:** Nachet Scott, CEO
## Practice location
- **Address:** 2722 PHILADELPHIA PIKE, Claymont, DE 19703-2568
- **Phone:** (302) 655-6187 · **Fax:** (302) 798-2473
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Delaware, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 12 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (8), Family Practice (2), Clinical Social Worker (1); 7 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 21, 2019
- **Other identifiers:** Other 440009 (DE)
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Source: [NPI Profile](https://npiprofile.com/npi/1760874549) · Data from the CMS NPPES public registry.