1. Home
  2. Directory
  3. South Carolina
  4. Mc Coll
  5. Clinic Center
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

CARESOUTH CAROLINA, INC.
NPI 1811930076
Clinic/Center - Federally Qualified Health Center (FQHC) in Mc Coll, SC

Active since June 14, 2006CLIA 42D1009384 · Waiver
3080 HIGHWAY 15-401 E, MC COLL, SC 29570(843) 523-5751 Get Directions Write a Review

NPPES record last updated: July 21, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2026, Jun 17, 2019 (2 updates tracked since 2019).

About Caresouth Carolina, Inc. NPPES

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

CARESOUTH CAROLINA, INC. (NPI 1811930076) is a healthcare organization registered as a federally qualified health center (fqhc) in Mc Coll, South Carolina and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through January 13, 2028 and lists Ann Lewis, Ceo, as its authorized official.

NPPES Registry Identity

NPI1811930076
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCARESOUTH CAROLINA, INC.
Location Address3080 HIGHWAY 15-401 EMc Coll, SC 29570-6128
Mailing AddressPo Box 1090Hartsville, SC 29551-1090
Phone(843) 523-5751
Organization SubpartNo
Authorized OfficialAnn LewisCeo · (843) 857-0111
Enumeration DateJune 14, 2006
Last NPPES UpdateJuly 21, 20262 updates tracked since enumeration
NPPES CertifiedJuly 21, 2026
✔ NPI 1811930076 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 ListedClinic/Center · DentalTaxonomy 261QD0000X
3080 HIGHWAY 15-401 E, Mc Coll, SC 29570
Open in Google Maps ↗

Other Identifiers 1

MedicaidFQC063SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and more.Insurance ›

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 42D1009384

Caresouth Carolina Inc Mccoll · Mccoll, SC
Active · expires Jan 13, 2028
CLIA Number42D1009384
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJanuary 14, 2026
Certificate Expiration DateJanuary 13, 2028
Laboratory DirectorRandall M. Carlyle
Laboratory Phone(843) 523-5751
Laboratory LocationCaresouth Carolina Inc Mccoll3080 Highway 15-401 E, Mccoll, SC 29570
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARESOUTH CAROLINA INC
Pharmacy
3080 HIGHWAY 15-401 E
MC COLL, SC 29570
Marlboro County (843) 523-6212
SYLVIA MCKOY WATTS NP
Nurse Practitioner (Family)
3080 HIGHWAY 15-401 E
MC COLL, SC 29570
Marlboro County (843) 523-5751
MRS. TABITHA GAIL HENNAGAN LPC
Counselor (Mental Health)
3080 HIGHWAY 15-401 E
MC COLL, SC 29570
Marlboro County (843) 523-5751
MRS. COURTNEY CHAVIS ODOM FNP-C
Nurse Practitioner (Family)
3080 HIGHWAY 15-401 E
MC COLL, SC 29570
Marlboro County (843) 523-5751
KAITLYN F STRAWDERMAN FNP
Nurse Practitioner (Family)
3080 HIGHWAY 15-401 E
MC COLL, SC 29570
Marlboro County (843) 523-5751
MRS. EARLINE LITTLE NURSE PRACTITIONER
Nurse Practitioner (Adult Health)
3080 HIGHWAY 15-401 E
MC COLL, SC 29570
Marlboro County (843) 523-5751
TASHA SMITH LISW-CP
Social Worker (Clinical)
3080 HIGHWAY 15-401 E
MC COLL, SC 29570
Marlboro County (843) 523-5751

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 Caresouth Carolina, Inc.'s NPI number?

The NPI number for Caresouth Carolina, Inc. is 1811930076. 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 3080 Highway 15-401 E, Mc Coll, SC 29570. The listed phone number is (843) 523-5751.

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.

Does Caresouth Carolina, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D1009384) is associated with this NPI, valid through January 13, 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 from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and InStil Health 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 July 21, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.