WALMART CARE CLINICS 10-1270
NPI 1922415165
Nurse Practitioner in North Augusta, SC

Active since July 21, 2014
1201 KNOX AVE, NORTH AUGUSTA, SC 29841(803) 426-5087(803) 202-8705 Get Directions Write a Review

NPPES record last updated: February 19, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Walmart Care Clinics 10-1270 NPPES

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

WALMART CARE CLINICS 10-1270 (NPI 1922415165) is a healthcare organization registered as a nurse practitioner in North Augusta, South Carolina and active in the NPI registry since July 2014. The organization lists Laura Levine, Director Of Healthcare Contracting, as its authorized official.

NPPES Registry Identity

NPI1922415165
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameWAL-MART STORES EAST, LP
Location Address1201 KNOX AVENorth Augusta, SC 29841-4056
Mailing Address702 Sw 8th StBentonville, AR 72716-0445 · (479) 204-8550
Fax(803) 202-8705
Organization SubpartYesParent: Wal-mart Stores, Inc.
Authorized OfficialLaura LevineDirector Of Healthcare Contracting · (479) 204-8550
Enumeration DateJuly 21, 2014
Last NPPES UpdateFebruary 19, 2015
✔ NPI 1922415165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1201 KNOX AVE, North Augusta, SC 29841

Other Names 1

Other NameWalmart Care Clinics 10-1270

Other Identifiers 2

OtherD953SC · Medicare Ptan
MedicaidGP6500SC

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Walmart Care Clinics 10-1270 is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

13

Medicare enrollment records show 13 clinicians reassign Medicare billing to Walmart Care Clinics 10-1270, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (13)

Nurse Practitioner
NPI 1417396904
616 EDGEFIELD RD STE 170
North Augusta, SC 29841
(803) 282-9481
✔ PECOS✔ Accepts Medicare2.9 mi
Nurse Practitioner
NPI 1548264047
1631 GORDON HWY STE 17A
Augusta, GA 30906
(706) 230-7006
✔ PECOS✔ Accepts Medicare5.4 mi
Nurse Practitioner
NPI 1215105085
176 MCSWAIN DR
West Columbia, SC 29169
(803) 767-4465
✔ PECOS✔ Accepts Medicare60 mi
Nurse Practitioner
NPI 1487954079
111 DOCTOR CIR
Columbia, SC 29203
(800) 491-0909
✔ PECOS✔ Accepts Medicare64 mi
Nurse Practitioner
NPI 1629510862
229 LONGTOWN RD
Columbia, SC 29229
(803) 419-4949
✔ PECOS✔ Accepts Medicare73 mi
Nurse Practitioner
NPI 1619307956
531 OXFORD ST STE C1
Sumter, SC 29150
(803) 792-9002
✔ PECOS✔ Accepts Medicare96 mi
Nurse Practitioner
NPI 1366917924
129 N WASHINGTON ST
Sumter, SC 29150
(803) 434-6771
✔ PECOS✔ Accepts Medicare97 mi
Nurse Practitioner
NPI 1932581519
2410 HOFFMEYER RD
Florence, SC 29501
(843) 662-8182
✔ PECOS✔ Accepts Medicare132 mi
Nurse Practitioner
NPI 1225420466
1101 GREYTHORNE DR
Mount Pleasant, SC 29466
(864) 686-6163
✔ PECOS✔ Accepts Medicare134 mi
Nurse Practitioner
NPI 1013307925
145 E CHEVES ST
Florence, SC 29506
(843) 661-4835
✔ PECOS✔ Accepts Medicare135 mi
Nurse Practitioner
NPI 1316488836
2111 HIGHWAY 17 S STE 3
North Myrtle Beach, SC 29582
(843) 491-3344
✔ PECOS✔ Accepts Medicare188 mi
Nurse Practitioner
NPI 1841747417
2817 ROCK MERRITT AVE
Fort Bragg, NC 28310
(910) 907-8922
✔ PECOS205 mi
Nurse Practitioner
NPI 1962672485
1 OPTUM CICLE
Eden Prairie, MN 55344
(800) 561-0861
✔ PECOS994 mi

Source: 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 Wal-Mart Stores East, LP's NPI number?

The NPI number for Wal-Mart Stores East, LP is 1922415165. It was assigned to this organization in the NPPES registry on July 21, 2014. The provider is also known as Walmart Care Clinics 10-1270.

Where is Wal-Mart Stores East, LP located?

Wal-Mart Stores East, LP is located at 1201 Knox Ave, North Augusta, SC 29841. The listed phone number is (803) 426-5087.

What is Wal-Mart Stores East, LP's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Wal-Mart Stores East, LP enrolled in Medicare?

Yes. Wal-Mart Stores East, LP is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wal-Mart Stores East, LP?

According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Wal-Mart Stores East, LP. 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Wal-Mart Stores East, LP was last updated on February 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.