CARESOUTH CAROLINA, INC.
NPI 1780627943
Clinic/Center - Federally Qualified Health Center (FQHC) in Lake View, SC
About Caresouth Carolina, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARESOUTH CAROLINA, INC. (NPI 1780627943) is a healthcare organization registered as a federally qualified health center (fqhc) in Lake View, South Carolina and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through January 4, 2028 and lists Ann Lewis, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
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)
Caresouth Carolina, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
95Medicare enrollment records show 95 clinicians reassign Medicare billing to Caresouth Carolina, Inc., which bills Medicare for the services they deliver. Of these, 3 practice at this address. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 14
Nearest to this location (20)
See all 95Source: 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 Waiver 42D1009356
Caresouth Carolina - Lake View · Lake View, 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 Caresouth Carolina, Inc.'s NPI number?
The NPI number for Caresouth Carolina, Inc. is 1780627943. It was assigned to this organization in the NPPES registry on June 14, 2006.
Where is Caresouth Carolina, Inc. located?
Caresouth Carolina, Inc. is located at 103 Kemper Street, Lake View, SC 29563. The listed phone number is (843) 759-2189.
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.
Is Caresouth Carolina, Inc. enrolled in Medicare?
Yes. Caresouth Carolina, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Caresouth Carolina, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 95 clinicians in 14 Medicare specialties reassign their Medicare billing to Caresouth Carolina, 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 (43), Clinical Social Worker (13) and Mental Health Counselor (11). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Caresouth Carolina, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 42D1009356) is associated with this NPI, valid through January 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Caresouth Carolina, Inc. accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and First Choice Next 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 19 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.
# Caresouth Carolina, Inc. · NPI 1780627943
Federally Qualified Health Center (FQHC) organization in Lake View, South Carolina. Organization record, active in the CMS NPPES registry since June 14, 2006.
## Identity
- **NPI:** 1780627943 (Entity type: Organization)
- **Enumerated:** June 14, 2006
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Organization subpart:** No
- **Authorized official:** Ann Lewis, CEO
## Practice location
- **Address:** 103 KEMPER STREET, Lake View, SC 29563
- **Phone:** (843) 759-2189
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 95 clinicians in 14 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (43), Clinical Social Worker (13), Mental Health Counselor (11); 3 practice at this address; [full list](https://npiprofile.com/npi/1780627943/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 4, 2007
- **Other identifiers:** Medicaid CBP013 (SC); Medicaid FQC003 (SC); Medicare PIN 7981 (SC); and 1 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1780627943) · Data from the CMS NPPES public registry.