BEAUFORT INTERNAL MEDICINE LLC
NPI 1891401147
Internal Medicine in Beaufort, SC

Active since January 30, 2023CLIA 42D0994633 · Waiver
10A MARSHELLEN DR, BEAUFORT, SC 29902(843) 379-9025(843) 525-9020 Get Directions Write a Review

NPPES record last updated: January 30, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Beaufort Internal Medicine Llc NPPES

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

BEAUFORT INTERNAL MEDICINE LLC (NPI 1891401147) is a healthcare organization registered as an internal medicine in Beaufort, South Carolina and active in the NPI registry since January 2023. The organization holds a CLIA Waiver certificate valid through December 26, 2027 and lists Randy S Kinnard, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1891401147
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameBEAUFORT INTERNAL MEDICINE LLC
Location Address10A MARSHELLEN DRBeaufort, SC 29902-6900
Mailing Address10a Marshellen DrBeaufort, SC 29902-6900 · (843) 379-9025 · Fax (843) 525-9020
Fax(843) 525-9020
Organization SubpartNo
Authorized OfficialRandy S KinnardPhysician/owner · (843) 379-9025
Enumeration DateJanuary 30, 2023
NPPES CertifiedJanuary 30, 2023
NPI 1891401147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
10A MARSHELLEN DR, Beaufort, SC 29902

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 SINGLE SPECIALTY GROUP

Accepted 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 42D0994633

Beaufort Internal Medicine Dba Beaufort Family Care · Beaufort, SC
Active · expires Dec 26, 2027
CLIA Number42D0994633
Laboratory TypePhysician Office
Certificate Effective DateDecember 27, 2025
Certificate Expiration DateDecember 26, 2027
Laboratory DirectorDr. Randy S. Kinnard
Laboratory Phone(843) 379-9025
Laboratory LocationBeaufort Internal Medicine Dba Beaufort Family Care10A Marsh Ellen Drive, Beaufort, SC 29902
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 4

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

Physician Assistant (Medical)
10A MARSHELLEN DR
BEAUFORT, SC 29902
Family Medicine
10A MARSHELLEN DR
BEAUFORT, SC 29902
Internal Medicine
10A MARSHELLEN DR
BEAUFORT, SC 29902
Non-Pharmacy Dispensing Site
10A MARSHELLEN DR
BEAUFORT, SC 29902

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 Beaufort Internal Medicine LLC's NPI number?

The NPI number for Beaufort Internal Medicine LLC is 1891401147. It was assigned to this organization in the NPPES registry on January 30, 2023.

Where is Beaufort Internal Medicine LLC located?

Beaufort Internal Medicine LLC is located at 10A Marshellen Dr, Beaufort, SC 29902. The listed phone number is (843) 379-9025.

What is Beaufort Internal Medicine LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Beaufort Internal Medicine LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D0994633) is associated with this NPI, valid through December 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Beaufort Internal Medicine LLC accept?

Health plans from BlueCross BlueShield of South Carolina list Beaufort Internal Medicine LLC 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 Beaufort Internal Medicine LLC was last updated on January 30, 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.