CARL ALVIN FOULKS JR. M.D.
NPI 1902898562
Internal Medicine - Gastroenterology in Columbia, SC

Q: What is Carl Foulks's NPI number?

The NPI number for Carl Foulks is 1902898562. It was assigned to this individual provider in the NPPES registry on August 19, 2005.

Q: What is Carl Foulks's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Carl Foulks was last updated on August 3, 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.

Active since August 19, 2005PECOS EnrolledAccepts Medicare Assignment

89.63/100

CMS Quality Rating

3 RICHLAND MEDICAL PARK DR STE 120, COLUMBIA, SC 29203(803) 434-8866(803) 933-3049 Get Directions Write a Review

NPPES record last updated: August 3, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 3, 2026, Sep 3, 2025, May 30, 2025 and 3 more (6 updates tracked since 2018).

On this page

About Carl Alvin Foulks Jr. M.d. NPPES

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

CARL ALVIN FOULKS JR. M.D. (NPI 1902898562) is an individual gastroenterology provider in Columbia, South Carolina, licensed in North Carolina (9900221) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with St Lukes Hospital, and maintains 7 additional practice locations.

NPPES Registry Identity

NPI1902898562

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameCARL ALVIN FOULKS JR.Credential: M.D.

Location Address3 RICHLAND MEDICAL PARK DR STE 120Columbia, SC 29203-6850

Mailing Address106 Alexander Bank Dr Ste 200Mooresville, NC 28117-9624 · (704) 660-2622 · Fax (704) 662-2633

Phone(803) 434-8866

Fax(803) 933-3049

Sole ProprietorNo

Medical School CMSHoward University College Of MedicineGraduated 1997

Enumeration DateAugust 19, 2005

Last NPPES UpdateAugust 3, 20266 updates tracked since enumeration

NPPES CertifiedAugust 3, 2026

✔ NPI 1902898562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

Licenses✔ Licensed in NC · 9900221✔ Licensed in SC · 93611

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

3 RICHLAND MEDICAL PARK DR STE 120, Columbia, SC 29203

Open in Google Maps ↗

Secondary Practice Locations 7

Location 14420 Lake Boone TrlRaleigh, NC 27607-7505 · Phone (919) 784-3100

Location 22200 Crow Ln Ste 302Myrtle Beach, SC 29577-1663 · Phone (843) 848-5320 · Fax (843) 652-8299

Location 3606 Black River Rd Ste 301Georgetown, SC 29440-3304 · Phone (843) 527-3428 · Fax (843) 546-8216

Location 44040 Highway 17 Unit 302Murrells Inlet, SC 29576-5098 · Phone (843) 652-8290 · Fax (843) 652-8299

Location 52200 Crow Ln Ste 102Myrtle Beach, SC 29577-1663 · Phone (843) 848-5120 · Fax (843) 848-5125

Location 6606 Black River Rd Ste 300Georgetown, SC 29440-3304 · Phone (843) 652-8290 · Fax (843) 546-8216

Location 7401 E Cheves St Ste 301Florence, SC 29506-2615 · Phone (843) 777-7010 · Fax (843) 777-5572

Other Identifiers 1

Medicaid8933339NC

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, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Carl Alvin Foulks Jr. M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2365432028

PECOS Enrollment IDI20040514000370, I20250115000269, I20250715000497

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Carl Foulks reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Prisma Health Medical Group-Midlands

3.4 mi

Orthopaedic Surgery

14 RICHLAND MEDICAL PARK DR STE 200
Columbia, SC 29203

Reassigned Medicare billing, South Carolina enrollment
1,466 clinicians in this Medicare group

NPI 1346761897 (803) 296-9200

Mcleod Regional Medical Center Of The Pee Dee, Inc

74 mi

Emergency Medical Services

555 E CHEVES ST
Florence, SC 29506

Reassigned Medicare billing, South Carolina enrollment
816 clinicians in this Medicare group

NPI 1154371433 (843) 777-2000

Dlp Frye Medical Group LLC

97 mi

Rural Health

1470 E GASTON ST STE 300
Lincolnton, NC 28092

Reassigned Medicare billing, North Carolina enrollment
228 clinicians in this Medicare group

NPI 1154005965 (704) 735-7474

Georgetown Physician Associates, LLC

111 mi

Medical Oncology

2405 N FRASER ST
Georgetown, SC 29440

Reassigned Medicare billing, South Carolina enrollment
266 clinicians in this Medicare group

NPI 1629482435 (843) 545-7274

North Carolina Mg, LLC

179 mi

Hospitalist

4420 LAKE BOONE TRL
Raleigh, NC 27607

Reassigned Medicare billing, North Carolina enrollment
701 clinicians in this Medicare group

NPI 1215741640 (919) 784-3100

Ut Methodist Physicians LLC

517 mi

Internal Medicine

1325 EASTMORELAND AVE STE 310
Memphis, TN 38104

Reassigned Medicare billing, Tennessee enrollment
170 clinicians in this Medicare group

NPI 1427317908 (901) 758-7970

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 13

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

73 services60 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

65 services62 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

58 services58 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

51 services51 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

50 services50 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

48 services48 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

34 services31 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

25 services23 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

18 services18 patients

Dilation of esophagus 43450

Dilation of the esophagus is a procedure aimed to stretch or open up your esophagus (the tube connecting your mouth to your stomach) when it's narrow. It helps to improve swallowing and alleviate discomfort. It's typically performed using a flexible tube or balloon, under sedation.

16 services15 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

15 services12 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

13 services13 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

12 services12 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Lukes Hospital

Acute Care Hospitals · Duluth, MN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240047

Location915 East 1st StreetDuluth, MN 55805 · St. Louis County

Emergency services Birthing friendly

Johnston Health

Acute Care Hospitals · Smithfield, NC

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340090

Location509 Bright Leaf BlvdSmithfield, NC 27577 · Johnston County

Emergency services Birthing friendly

Frye Regional Medical Center

Acute Care Hospitals · Hickory, NC

1/5 CMS rating

OwnershipProprietary

CMS Certification Number340116

Location420 N Center StHickory, NC 28601 · Catawba County

Emergency services Birthing friendly

Mcleod Regional Medical Center-Pee Dee

Acute Care Hospitals · Florence, SC

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420051

Location555 E Cheves St Box 8700Florence, SC 29506 · Florence County

Emergency services Birthing friendly

Methodist Hospitals Of Memphis

Acute Care Hospitals · Memphis, TN

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number440049

Location1265 Union Ave Suite 700Memphis, TN 38104 · Shelby County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29203 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$124.04 typical visit price

range $53.57 – $163.84

Typical copayment $31.01 (range $13.39 – $40.96)

Most-billed visit code 99204

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

89.63/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

77.66

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 20

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

MR. BALBIR SINGH MINHAS MD

Internal Medicine (Gastroenterology)