CAROLINA FAMILY CLINIC PA
NPI 1780109603
Family Medicine in Laurinburg, NC
About Carolina Family Clinic Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CAROLINA FAMILY CLINIC PA (NPI 1780109603) is a healthcare organization registered as a family medicine in Laurinburg, North Carolina and active in the NPI registry since August 2017. The organization holds a CLIA Microscopy certificate valid through April 9, 2028 and lists Allen James Ballew, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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 Clinic Pa 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 Clinic PA, which bills Medicare for the services they deliver. 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 for Provider-Performed Microscopy Procedures (PPMP) 34D2146956
Carolina Family Clinic, PA · Laurinburg, NCFrequently 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 Clinic PA's NPI number?
The NPI number for Carolina Family Clinic PA is 1780109603. It was assigned to this organization in the NPPES registry on August 11, 2017.
Where is Carolina Family Clinic PA located?
Carolina Family Clinic PA is located at 1707 Berwick Dr Ste B, Laurinburg, NC 28352. The listed phone number is (910) 276-1150.
What is Carolina Family Clinic PA's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Carolina Family Clinic PA enrolled in Medicare?
Yes. Carolina Family Clinic PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Carolina Family Clinic PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Family Practice, reassign their Medicare billing to Carolina Family Clinic PA. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Carolina Family Clinic PA hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 34D2146956) is associated with this NPI, valid through April 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Carolina Family Clinic PA accept?
Health plans from Blue Cross and Blue Shield of NC list Carolina Family Clinic PA 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 Clinic PA was last updated on June 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 Clinic Pa · NPI 1780109603
Family Medicine organization in Laurinburg, North Carolina. Organization record, active in the CMS NPPES registry since August 11, 2017.
## Identity
- **NPI:** 1780109603 (Entity type: Organization)
- **Enumerated:** August 11, 2017
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Allen Ballew, OWNER
## Practice location
- **Address:** 1707 BERWICK DR STE B, Laurinburg, NC 28352-5543
- **Phone:** (910) 276-1150
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Family Practice) reassign Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 11, 2020
- **Other identifiers:** Other 2016-02469 (NC)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1780109603) · Data from the CMS NPPES public registry.