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: October 18, 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
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

Other Identifiers 1

MedicaidFQC063SC

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

95

Medicare enrollment records show 95 clinicians reassign Medicare billing to Caresouth Carolina, Inc., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 14 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 14

Nurse Practitioner43
Clinical Social Worker13
Mental Health Counselor11
Family Practice7
Dentist6
Internal Medicine5
Ophthalmology3
Chiropractic1
6 other specialties6

Nearest to this location (20)

See all 95
Clinical Social Worker
NPI 1609532811
3080 HIGHWAY 15-401 E
Mc Coll, SC 29570
(843) 523-5751
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1487073219
3080 HIGHWAY 15-401 E
Mc Coll, SC 29570
(843) 523-5751
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1518070531
3080 HIGHWAY 15-401 E
Mc Coll, SC 29570
(843) 523-5751
✔ PECOS0.2 mi
Nurse Practitioner
NPI 1962095612
3080 HIGHWAY 15-401 E
Mc Coll, SC 29570
(843) 523-5751
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1235959727
3080 HIGHWAY 15-401 E
Mc Coll, SC 29570
(843) 523-5751
✔ PECOS✔ Accepts Medicare0.2 mi
Mental Health Counselor
NPI 1689981276
3080 HIGHWAY 15-401 E
Mc Coll, SC 29570
(843) 523-5751
✔ PECOS0.2 mi
Nurse Practitioner
NPI 1134359029
210 W MAIN ST
Bennettsville, SC 29512
(843) 332-5121
✔ PECOS7.2 mi
Obstetrics/Gynecology
NPI 1023017506
1076 MARLBORO WAY SUITE 1
Bennettsville, SC 29512
(843) 454-2294
✔ PECOS✔ Accepts Medicare7.3 mi
Clinical Social Worker
NPI 1952944969
999 CHERAW ST
Bennettsville, SC 29512
(843) 479-2341
✔ PECOS✔ Accepts Medicare7.4 mi
Nurse Practitioner
NPI 1225482524
999 CHERAW ST
Bennettsville, SC 29512
(843) 479-2341
✔ PECOS✔ Accepts Medicare7.4 mi
Nurse Practitioner
NPI 1356844278
999 CHERAW ST
Bennettsville, SC 29512
(843) 479-2341
✔ PECOS✔ Accepts Medicare7.4 mi
Nurse Practitioner
NPI 1588159628
999 CHERAW ST
Bennettsville, SC 29512
(843) 479-2341
✔ PECOS✔ Accepts Medicare7.4 mi
Nurse Practitioner
NPI 1356456628
999 CHERAW ST
Bennettsville, SC 29512
(843) 479-2341
✔ PECOS✔ Accepts Medicare7.4 mi
Pediatric Medicine
NPI 1316051139
210 WEST MAIN STREET
Bennettsville, SC 29512
(843) 479-1200
✔ PECOS8.3 mi
Nurse Practitioner
NPI 1669466710
201 W HAMPTON ST
Dillon, SC 29536
(843) 774-5611
✔ PECOS20 mi
Mental Health Counselor
NPI 1730480971
737 S MAIN ST
Society Hill, SC 29593
(843) 378-4501
✔ PECOS✔ Accepts Medicare20 mi
Family Practice
NPI 1205937521
737 S MAIN ST
Society Hill, SC 29593
(843) 378-4501
✔ PECOS✔ Accepts Medicare20 mi
Clinical Social Worker
NPI 1497247241
737 S MAIN ST
Society Hill, SC 29593
(843) 378-4502
✔ PECOS✔ Accepts Medicare20 mi
Dentist
NPI 1568963593
737 S MAIN ST
Society Hill, SC 29593
(843) 857-0111
✔ PECOS20 mi
Podiatry
NPI 1699761874
812 STATE RD
Cheraw, SC 29520
(843) 537-0961
✔ PECOS✔ Accepts Medicare20 mi
See all 95 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 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.

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.

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, 1 practice at this address and 14 within 10 miles. 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 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.