CAROLINA CARDIOLOGY AND VASCULAR ASSOCIATES LLC
NPI 1912400300
Internal Medicine - Cardiovascular Disease in Irmo, SC
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
Specialties & Licenses 2
Other Identifiers 3
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)
Carolina Cardiology And Vascular Associates Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Carolina Cardiology And Vascular Associates LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (5)
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 42D2166445
Carolina Cardiology & Vascular Associates, LLC · Irmo, SCFrequently 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.
Is Carolina Cardiology And Vascular Associates LLC enrolled in Medicare?
Yes. Carolina Cardiology And Vascular Associates LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Carolina Cardiology And Vascular Associates LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Carolina Cardiology And Vascular Associates LLC. 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 (4) and Cardiovascular Disease (Cardiology) (1). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 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.
# Carolina Cardiology And Vascular Associates Llc · NPI 1912400300
Cardiovascular Disease organization in Irmo, South Carolina. Organization record, active in the CMS NPPES registry since March 13, 2018.
## Identity
- **NPI:** 1912400300 (Entity type: Organization)
- **Enumerated:** March 13, 2018
- **Primary specialty:** Internal Medicine - Cardiovascular Disease · taxonomy 207RC0000X
- **Organization subpart:** No
- **Authorized official:** Daniel Bouknight, PRESIDENT/OWNER
## Practice location
- **Address:** 1 WELLNESS BLVD STE 106, Irmo, SC 29063-2872
- **Phone:** (803) 888-2282
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (4), Cardiovascular Disease (Cardiology) (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 27, 2022
- **Other identifiers:** Other 1427057009; Medicaid 174563 (SC); Other 17456 (SC)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1912400300) · Data from the CMS NPPES public registry.