CAROLINA MEDICAL PARTNERS PLLC
NPI 1902411077
Family Medicine in Fort Mill, SC

Q: What is Carolina Medical Partners PLLC's NPI number?

The NPI number for Carolina Medical Partners PLLC is 1902411077. It was assigned to this organization in the NPPES registry on September 15, 2020.

Q: What is Carolina Medical Partners PLLC's specialty?

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

Active since September 15, 2020CLIA 42D2236141 · Waiver

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: May 13, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 13, 2022, Sep 15, 2020 (2 updates tracked since 2020).

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About Carolina Medical Partners Pllc NPPES

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

CAROLINA MEDICAL PARTNERS PLLC (NPI 1902411077) is a healthcare organization registered as a family medicine in Fort Mill, South Carolina and active in the NPI registry since September 2020. The organization holds a CLIA Waiver certificate valid through September 14, 2027, maintains a secondary practice location in Charlotte, and lists Nimish Patel, Owner, as its authorized official.

NPPES Registry Identity

NPI1902411077

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameCAROLINA MEDICAL PARTNERS PLLC

Location Address1040 EDGEWATER CORPORATE PKWY STE 104Fort Mill, SC 29707-4526

Mailing Address1040 Edgewater Corporate Pkwy Ste 104Fort Mill, SC 29707-4526 · (803) 547-8660 · Fax (803) 650-3880

Phone(803) 547-8660

Fax(803) 650-3880

Organization SubpartNo

Authorized OfficialNimish PatelOwner · (803) 547-8660

Enumeration DateSeptember 15, 2020

Last NPPES UpdateMay 13, 20222 updates tracked since enumeration

NPPES CertifiedMay 13, 2022

✔ NPI 1902411077 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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Secondary Practice Location 1

Location 110535 Flennigan WayCharlotte, NC 28277-1417 · Phone (803) 547-8660 · Fax (803) 650-3880

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

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

Carolina Medical Partners Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 4 clinicians reassign Medicare billing to Carolina Medical Partners PLLC, 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.

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 42D2236141

Carolina Medical Partners · Indian Land, SC

Active · expires Sep 14, 2027

CLIA Number42D2236141

Laboratory TypePhysician Office

Certificate Effective DateSeptember 15, 2025

Certificate Expiration DateSeptember 14, 2027

Laboratory DirectorDr. Shephali N. Patel

Laboratory Phone(803) 547-8660

Laboratory LocationCarolina Medical Partners1028 Edgewater Corp Pkwy Suite 103, Indian Land, SC 29707

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 Carolina Medical Partners PLLC's NPI number?

The NPI number for Carolina Medical Partners PLLC is 1902411077. It was assigned to this organization in the NPPES registry on September 15, 2020.

Where is Carolina Medical Partners PLLC located?

Carolina Medical Partners PLLC is located at 1040 Edgewater Corporate Pkwy Ste 104, Fort Mill, SC 29707. The listed phone number is (803) 547-8660.

What is Carolina Medical Partners PLLC's specialty?

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

Is Carolina Medical Partners PLLC enrolled in Medicare?

Yes. Carolina Medical Partners PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Carolina Medical Partners PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Carolina Medical Partners PLLC, 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.

Does Carolina Medical Partners PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2236141) is associated with this NPI, valid through September 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Carolina Medical Partners PLLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina and Molina Healthcare list Carolina Medical Partners PLLC 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 Carolina Medical Partners PLLC was last updated on May 13, 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.