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CMP SENIOR HEALTHCARE LLC
NPI 1891420857
Family Medicine in Fort Mill, SC

Active since July 22, 2022
1040 EDGEWATER CORPORATE PKWY STE 104, FORT MILL, SC 29707(803) 547-8660(803) 650-3880 Get Directions Write a Review

NPPES record last updated: July 22, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Cmp Senior Healthcare Llc NPPES

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

CMP SENIOR HEALTHCARE LLC (NPI 1891420857) is a healthcare organization registered as a family medicine in Fort Mill, South Carolina and active in the NPI registry since July 2022. The organization lists Nimish Patel, Owner, as its authorized official.

NPPES Registry Identity

NPI1891420857
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCMP SENIOR HEALTHCARE LLC
Location Address1040 EDGEWATER CORPORATE PKWY STE 104Fort Mill, SC 29707-4526
Mailing Address10535 Flennigan WayCharlotte, NC 28277-1417
Phone(803) 547-8660
Fax(803) 650-3880
Organization SubpartYesParent: Carolina Medical Partners Pllc
Authorized OfficialNimish PatelOwner · (803) 547-8660
Enumeration DateJuly 22, 2022
NPPES CertifiedJuly 22, 2022
✔ NPI 1891420857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1040 EDGEWATER CORPORATE PKWY STE 104, Fort Mill, SC 29707
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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cmp Senior Healthcare Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Cmp Senior Healthcare LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Megan Keener, NP
Nurse Practitioner
NPI 1316607583
1040 EDGEWATER CORPORATE PKWY
Indian Land, SC 29707
(803) 547-8660
✔ PECOSSame address
Nimish Patel, MD
Family Practice
NPI 1710141668
1040 EDGEWATER CORPORATE PKWY SUITE 101
Indian Land, SC 29707
(803) 548-7007
✔ PECOS✔ Accepts MedicareSame address
Shephali Patel, M.D.
Family Practice
NPI 1538386610
1040 EDGEWATER CORPORATE PKWY SUITE 101
Indian Land, SC 29707
(803) 548-7007
✔ PECOS✔ Accepts MedicareSame address
Andrea Blakeman, APRN
Nurse Practitioner
NPI 1053954438
1131 SALUDA ST
Rock Hill, SC 29730
(803) 325-7744
✔ PECOS✔ Accepts Medicare12 mi

Source: 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 Cmp Senior Healthcare LLC's NPI number?

The NPI number for Cmp Senior Healthcare LLC is 1891420857. It was assigned to this organization in the NPPES registry on July 22, 2022.

Where is Cmp Senior Healthcare LLC located?

Cmp Senior Healthcare LLC is located at 1040 Edgewater Corporate Pkwy Ste 104, Fort Mill, SC 29707. The listed phone number is (803) 547-8660.

What is Cmp Senior Healthcare LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Cmp Senior Healthcare LLC enrolled in Medicare?

Yes. Cmp Senior Healthcare LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Cmp Senior Healthcare LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Cmp Senior Healthcare LLC, in Family Practice and Nurse Practitioner. 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. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Cmp Senior Healthcare LLC was last updated on July 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.