SANDHILLS MEDICAL FOUNDATION, INC.
NPI 1780742825
Clinic/Center - Federally Qualified Health Center (FQHC) in Sumter, SC

Active since December 04, 2006CLIA 42D1018020 · Waiver
30 CUTTINO RD, SUMTER, SC 29150(803) 778-2442(803) 778-0880 Get Directions Write a Review

NPPES record last updated: September 29, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 7, 2023, Jul 21, 2022 (2 updates tracked since 2022).

About Sandhills Medical Foundation, Inc. NPPES

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

SANDHILLS MEDICAL FOUNDATION, INC. (NPI 1780742825) is a healthcare organization registered as a federally qualified health center (fqhc) in Sumter, South Carolina and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through October 9, 2027 and lists Ernest James Stanley Wardlaw, Ceo, as its authorized official.

NPPES Registry Identity

NPI1780742825
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameSANDHILLS MEDICAL FOUNDATION, INC.
Location Address30 CUTTINO RDSumter, SC 29150-2667
Mailing AddressPo Box 366Mc Bee, SC 29101-0366 · (843) 335-8291 · Fax (843) 335-8731
Fax(803) 778-0880
Organization SubpartNo
Authorized OfficialErnest James Stanley WardlawCeo · (843) 335-8291
Enumeration DateDecember 4, 2006
Last NPPES UpdateSeptember 29, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2023
✔ NPI 1780742825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedFamily MedicineTaxonomy 207Q00000X
30 CUTTINO RD, Sumter, SC 29150

Other Identifiers 1

MedicaidFQC056SC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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)

Sandhills Medical Foundation, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

36

Medicare enrollment records show 36 clinicians reassign Medicare billing to Sandhills Medical Foundation, Inc., which bills Medicare for the services they deliver. Of these, 2 practice at this address. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 9

Nurse Practitioner14
Family Practice10
Clinical Social Worker3
Internal Medicine3
Mental Health Counselor2
Chiropractic1
Hospice/Palliative Care1
Pediatric Medicine1
1 other specialty1

Nearest to this location (20)

See all 36
Clinical Social Worker
NPI 1326547431
30 CUTTINO RD
Sumter, SC 29150
(803) 778-2442
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1437999349
30 CUTTINO RD
Sumter, SC 29150
(803) 778-2442
✔ PECOSSame address
Internal Medicine
NPI 1740201680
1315 ROBERTS ST
Camden, SC 29020
(803) 427-3162
✔ PECOS✔ Accepts Medicare25 mi
Nurse Practitioner
NPI 1861992810
1344 HAILE ST
Camden, SC 29020
(803) 432-1996
✔ PECOS25 mi
Chiropractic
NPI 1891709143
1037 W DEKALB ST
Camden, SC 29020
(803) 432-0464
✔ Accepts Medicare25 mi
Nurse Practitioner
NPI 1639959182
40 BALDWIN AVE
Lugoff, SC 29078
(803) 408-3262
✔ PECOS✔ Accepts Medicare27 mi
Nurse Practitioner
NPI 1912859588
40 BALDWIN AVE
Lugoff, SC 29078
(803) 408-3262
✔ PECOS✔ Accepts Medicare27 mi
Nurse Practitioner
NPI 1205371754
40 BALDWIN AVE
Lugoff, SC 29078
(803) 408-3262
✔ PECOS27 mi
Nurse Practitioner
NPI 1619121290
40 BALDWIN AVE
Lugoff, SC 29078
(803) 408-3262
✔ PECOS✔ Accepts Medicare27 mi
Mental Health Counselor
NPI 1609290907
704 SAINT PAUL RD
Camden, SC 29020
(270) 799-6628
✔ PECOS✔ Accepts Medicare29 mi
Pediatric Medicine
NPI 1720075393
601 CLEMSON RD
Columbia, SC 29229
(803) 788-6146
✔ PECOS31 mi
Psychiatry
NPI 1073578506
120 WILDEWOOD PARK DR SUITE A
Columbia, SC 29223
(803) 788-7882
✔ PECOS✔ Accepts Medicare32 mi
Mental Health Counselor
NPI 1427497742
1451 RETAIL ROW
Hartsville, SC 29550
(843) 383-4855
✔ PECOS✔ Accepts Medicare33 mi
Family Practice
NPI 1518928837
511 BELTLINE BLVD
Columbia, SC 29205
(803) 782-4051
✔ PECOS✔ Accepts Medicare35 mi
Clinical Social Worker
NPI 1033387998
645 S SEVENTH ST
Mc Bee, SC 29101
(843) 335-8291
✔ PECOS✔ Accepts Medicare36 mi
Family Practice
NPI 1831304880
1120 ROBERTS BRANCH PKWY STE 300
Columbia, SC 29203
(803) 567-7518
✔ PECOS✔ Accepts Medicare36 mi
Family Practice
NPI 1659602506
360 N. IRBY STREET
Florence, SC 29501
(843) 667-9414
✔ PECOS✔ Accepts Medicare38 mi
Internal Medicine
NPI 1659366524
4605 MONTICELLO RD STE 3
Columbia, SC 29203
(803) 754-0151
✔ PECOS✔ Accepts Medicare39 mi
Hospice/Palliative Care
NPI 1346602596
216 E MARION ST
Kershaw, SC 29067
(803) 475-3350
✔ PECOS✔ Accepts Medicare43 mi
Internal Medicine
NPI 1194145615
216 E MARION ST
Kershaw, SC 29067
(803) 475-3350
✔ PECOS✔ Accepts Medicare43 mi
See all 36 clinicians

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 Waiver 42D1018020

Sandhills Medical Foundation-Sumter · Sumter, SC
Active · expires Oct 9, 2027
CLIA Number42D1018020
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateOctober 10, 2025
Certificate Expiration DateOctober 9, 2027
Laboratory DirectorDavid Thompson
Laboratory Phone(803) 778-2442
Laboratory LocationSandhills Medical Foundation-Sumter30 Cuttino Road, Sumter, SC 29150
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Sandhills Medical Foundation, Inc.'s NPI number?

The NPI number for Sandhills Medical Foundation, Inc. is 1780742825. It was assigned to this organization in the NPPES registry on December 4, 2006.

Where is Sandhills Medical Foundation, Inc. located?

Sandhills Medical Foundation, Inc. is located at 30 Cuttino Rd, Sumter, SC 29150. The listed phone number is (803) 778-2442.

What is Sandhills Medical Foundation, 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 Sandhills Medical Foundation, Inc. enrolled in Medicare?

Yes. Sandhills Medical Foundation, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sandhills Medical Foundation, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 36 clinicians in 9 Medicare specialties reassign their Medicare billing to Sandhills Medical Foundation, 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 (14), Family Practice (10) and Clinical Social Worker (3). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Sandhills Medical Foundation, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D1018020) is associated with this NPI, valid through October 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Sandhills Medical Foundation, 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 2 other insurers list Sandhills Medical Foundation, 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 Sandhills Medical Foundation, Inc. was last updated on September 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.