CENTERWELL SENIOR PRIMARY CARE (SC) JV PC
NPI 1811717333
Internal Medicine in Columbia, SC
About Centerwell Senior Primary Care (sc) Jv Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CENTERWELL SENIOR PRIMARY CARE (SC) JV PC (NPI 1811717333), doing business as Centerwell Senior Primary Care (sc) Jv Pc - Fairwold, is a healthcare organization registered as an internal medicine in Columbia, South Carolina and active in the NPI registry since October 2024. The organization lists Megan Galvan, Credentialing Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Centerwell Senior Primary Care (sc) Jv Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
34Medicare enrollment records show 34 clinicians reassign Medicare billing to Centerwell Senior Primary Care (sc) Jv PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 10 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 4
Nearest to this location (20)
See all 34Source: 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 Centerwell Senior Primary Care (sc) Jv PC's NPI number?
The NPI number for Centerwell Senior Primary Care (sc) Jv PC is 1811717333. It was assigned to this organization in the NPPES registry on October 10, 2024. The provider is doing business as CenterWell Senior Primary Care (SC) JV PC - Fairwold.
Where is Centerwell Senior Primary Care (sc) Jv PC located?
Centerwell Senior Primary Care (sc) Jv PC is located at 5900 N Main St, Columbia, SC 29203. The listed phone number is (803) 610-4199.
What is Centerwell Senior Primary Care (sc) Jv PC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Centerwell Senior Primary Care (sc) Jv PC enrolled in Medicare?
Yes. Centerwell Senior Primary Care (sc) Jv PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Centerwell Senior Primary Care (sc) Jv PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 34 clinicians in 4 Medicare specialties reassign their Medicare billing to Centerwell Senior Primary Care (sc) Jv PC. 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 (9) and Cardiovascular Disease (Cardiology) (6). Of these, 2 practice at this address and 10 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Centerwell Senior Primary Care (sc) Jv PC was last updated on October 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Centerwell Senior Primary Care (sc) Jv Pc · NPI 1811717333
Internal Medicine organization in Columbia, South Carolina. Organization record, active in the CMS NPPES registry since October 10, 2024.
## Identity
- **NPI:** 1811717333 (Entity type: Organization)
- **Enumerated:** October 10, 2024
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Also known as:** CenterWell Senior Primary Care (SC) JV PC - Fairwold (Doing Business As)
- **Organization subpart:** Yes (part of Centerwell Senior Primary Care (sc) Jv Pc)
- **Authorized official:** Megan Galvan, CREDENTIALING MANAGER
## Practice location
- **Address:** 5900 N MAIN ST, Columbia, SC 29203-6227
- **Phone:** (803) 610-4199
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 34 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (14), Family Practice (9), Cardiovascular Disease (Cardiology) (6); 2 practice at this address and 10 within 10 miles; [full list](https://npiprofile.com/npi/1811717333/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 10, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1811717333) · Data from the CMS NPPES public registry.