MAIN STREET MEDICAL PC
NPI 1922192194
Clinic/Center - Multi-Specialty in Hilton Head, SC

Active since October 03, 2006CLIA 42D0940826 · Microscopy
93 MAIN ST, HILTON HEAD, SC 29926(843) 681-3777(843) 681-9996 Get Directions Write a Review

NPPES record last updated: January 15, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 15, 2020, Feb 24, 2016 (2 updates tracked since 2016).

About Main Street Medical Pc NPPES

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

MAIN STREET MEDICAL PC (NPI 1922192194) is a healthcare organization registered as a multi-specialty in Hilton Head, South Carolina and active in the NPI registry since October 2006. The organization holds a CLIA Microscopy certificate valid through October 9, 2027 and lists Joel Mandus Johnson, Ceo Doctor, as its authorized official.

NPPES Registry Identity

NPI1922192194
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameMAIN STREET MEDICAL PC
Location Address93 MAIN STHilton Head, SC 29926-1648
Mailing Address93 Main StHilton Head, SC 29926-1648 · (843) 681-3777 · Fax (843) 681-9996
Fax(843) 681-9996
Organization SubpartNo
Authorized OfficialJoel Mandus JohnsonCeo Doctor · (843) 681-3777
Enumeration DateOctober 3, 2006
Last NPPES UpdateJanuary 15, 20202 updates tracked since enumeration
NPI 1922192194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
License Licensed in SC · 18011
93 MAIN ST, Hilton Head, SC 29926

Other Identifiers 2

Other020038172SC · Rail Road Medicare
Other42D0940826SC · Clia Number

Accepted 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 for Provider-Performed Microscopy Procedures (PPMP) 42D0940826

Main Street Medical, PC · Hilton Head Island, SC
Active · expires Oct 9, 2027
CLIA Number42D0940826
Laboratory TypePhysician Office
Certificate Effective DateOctober 10, 2025
Certificate Expiration DateOctober 9, 2027
Laboratory DirectorJoel M. Johnson I I I
Laboratory Phone(843) 681-3777
Laboratory LocationMain Street Medical, PC93 Main Street, Hilton Head Island, SC 29926
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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.

Family Medicine
93 MAIN ST
HILTON HEAD ISLAND, SC 29926
Family Medicine
93 MAIN ST
HILTON HEAD, SC 29926

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922192194, enumerated as an "organization" on October 03, 2006.

The provider is located at 93 MAIN ST HILTON HEAD, SC 29926 and the phone number is (843) 681-3777.

Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.

The provider might be accepting Accepts: BlueCross BlueShield of South Carolina, Medicare. Please consult your insurance carrier or call the provider to verify.