SANDHILLS MEDICAL FOUNDATION, INC.
NPI 1912065467
Clinic/Center - Federally Qualified Health Center (FQHC) in Jefferson, SC
About Sandhills Medical Foundation, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SANDHILLS MEDICAL FOUNDATION, INC. (NPI 1912065467) is a healthcare organization registered as a federally qualified health center (fqhc) in Jefferson, South Carolina and active in the NPI registry since December 2006. The organization lists Ernest James Stanley Wardlaw, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Group Practice 1
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)
Sandhills Medical Foundation, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
36Medicare enrollment records show 36 clinicians reassign Medicare billing to Sandhills Medical Foundation, Inc., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 9
Nearest to this location (20)
See all 36Source: 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 Sandhills Medical Foundation, Inc.'s NPI number?
The NPI number for Sandhills Medical Foundation, Inc. is 1912065467. It was assigned to this organization in the NPPES registry on December 5, 2006.
Where is Sandhills Medical Foundation, Inc. located?
Sandhills Medical Foundation, Inc. is located at 409 E Church St, Jefferson, SC 29718. The listed phone number is (843) 658-3005.
What is Sandhills Medical Foundation, 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 Sandhills Medical Foundation, Inc. enrolled in Medicare?
Yes. Sandhills Medical Foundation, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Sandhills Medical Foundation, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 36 clinicians in 9 Medicare specialties reassign their Medicare billing to Sandhills Medical Foundation, 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 (14), Family Practice (10) and Clinical Social Worker (3). Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Sandhills Medical Foundation, Inc. accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and First Choice Next and 2 other insurers list Sandhills Medical Foundation, 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 Sandhills Medical Foundation, Inc. was last updated on September 29, 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.
# Sandhills Medical Foundation, Inc. · NPI 1912065467
Federally Qualified Health Center (FQHC) organization in Jefferson, South Carolina. Organization record, active in the CMS NPPES registry since December 5, 2006.
## Identity
- **NPI:** 1912065467 (Entity type: Organization)
- **Enumerated:** December 5, 2006
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Organization subpart:** No
- **Authorized official:** Ernest Wardlaw, CEO
## Practice location
- **Address:** 409 E CHURCH ST, Jefferson, SC 29718-8701
- **Phone:** (843) 658-3005 · **Fax:** (843) 658-7780
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 36 clinicians in 9 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (14), Family Practice (10), Clinical Social Worker (3); 1 practice at this address and 2 within 10 miles; [full list](https://npiprofile.com/npi/1912065467/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 29, 2023
- **Other identifiers:** Medicaid FQC022 (SC)
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Source: [NPI Profile](https://npiprofile.com/npi/1912065467) · Data from the CMS NPPES public registry.