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CAROLINA CARDIOLOGY AND VASCULAR ASSOCIATES LLC
NPI 1912400300
Internal Medicine - Cardiovascular Disease in Irmo, SC

Active since March 13, 2018CLIA 42D2166445 · Waiver
1 WELLNESS BLVD STE 106, IRMO, SC 29063(803) 888-2282 Get Directions Write a Review

NPPES record last updated: June 27, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 16, 2021, Feb 25, 2021, Jan 18, 2021 and 3 more (6 updates tracked since 2018).

About Carolina Cardiology And Vascular Associates Llc NPPES

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

CAROLINA CARDIOLOGY AND VASCULAR ASSOCIATES LLC (NPI 1912400300) is a healthcare organization registered as a cardiovascular disease in Irmo, South Carolina and active in the NPI registry since March 2018. The organization holds a CLIA Waiver certificate valid through March 29, 2028 and lists Daniel P Bouknight, President/owner, as its authorized official.

NPPES Registry Identity

NPI1912400300
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameCAROLINA CARDIOLOGY AND VASCULAR ASSOCIATES LLC
Location Address1 WELLNESS BLVD STE 106Irmo, SC 29063-2872
Mailing Address1 Wellness Blvd Ste 106Irmo, SC 29063-2872 · (180) 388-8228 · Fax (803) 888-2299
Phone(803) 888-2282
Organization SubpartNo
Authorized OfficialDaniel P BouknightPresident/owner · (803) 888-2282
Enumeration DateMarch 13, 2018
Last NPPES UpdateJune 27, 20226 updates tracked since enumeration
NPPES CertifiedJune 27, 2022
✔ NPI 1912400300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in SC · 17456
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X · License 17456 (SC)
1 WELLNESS BLVD STE 106, Irmo, SC 29063
Open in Google Maps ↗

Other Identifiers 3

Other1427057009Dr. Daniel Bouknight Individual Npi
Medicaid174563SC
Other17456SC · Sc License

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, Molina Healthcare.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 42D2166445

Carolina Cardiology & Vascular Associates, LLC · Irmo, SC
Active · expires Mar 29, 2028
CLIA Number42D2166445
Laboratory TypePhysician Office
Certificate Effective DateMarch 30, 2026
Certificate Expiration DateMarch 29, 2028
Laboratory DirectorDaniel P. Bouknight
Laboratory Phone(803) 888-2282
Laboratory LocationCarolina Cardiology & Vascular Associates, LLC1 Wellness Blvd Suite 106, Irmo, SC 29063
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

MRS. MELISSA ROWLAND N. P.
Nurse Practitioner (Family)
1 WELLNESS BLVD STE 106
IRMO, SC 29063
Lexington County (803) 888-2282
DR. DANIEL P BOUKNIGHT MD.
Internal Medicine (Cardiovascular Disease)
1 WELLNESS BLVD STE 106
IRMO, SC 29063
Lexington County (803) 888-2282

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 Cardiology And Vascular Associates LLC's NPI number?

The NPI number for Carolina Cardiology And Vascular Associates LLC is 1912400300. It was assigned to this organization in the NPPES registry on March 13, 2018.

Where is Carolina Cardiology And Vascular Associates LLC located?

Carolina Cardiology And Vascular Associates LLC is located at 1 Wellness Blvd Ste 106, Irmo, SC 29063. The listed phone number is (803) 888-2282.

What is Carolina Cardiology And Vascular Associates LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Does Carolina Cardiology And Vascular Associates LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2166445) is associated with this NPI, valid through March 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Carolina Cardiology And Vascular Associates LLC accept?

Health plans from BlueCross BlueShield of South Carolina and Molina Healthcare list Carolina Cardiology And Vascular Associates 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 Carolina Cardiology And Vascular Associates LLC was last updated on June 27, 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.