WILLISTON FAMILY MEDICINE
NPI 1922468826
Clinic/Center - Federally Qualified Health Center (FQHC) in Williston, SC

Active since March 04, 2016CLIA 42D2109757 · Waiver
13649 CHURCH ST, WILLISTON, SC 29853(803) 266-0060(803) 266-0065 Get Directions Write a Review

NPPES record last updated: January 11, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 15, 2023, Feb 8, 2022, Dec 8, 2020 and 2 more (5 updates tracked since 2016).

About Williston Family Medicine NPPES

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

WILLISTON FAMILY MEDICINE (NPI 1922468826) is a healthcare organization registered as a federally qualified health center (fqhc) in Williston, South Carolina and active in the NPI registry since March 2016. The organization holds a CLIA Waiver certificate valid through April 28, 2028 and lists Ashley Barnes, Ceo, as its authorized official.

NPPES Registry Identity

NPI1922468826
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameLOW COUNTRY HEALTH CARE SYSTEM, INC
Location Address13649 CHURCH STWilliston, SC 29853-5835
Mailing Address86 Wren StBarnwell, SC 29812-1529 · (803) 259-5762 · Fax (803) 259-3250
Fax(803) 266-0065
Organization SubpartYesParent: Low Country Health Care System
Authorized OfficialAshley BarnesCeo · (803) 632-2533
Enumeration DateMarch 4, 2016
Last NPPES UpdateJanuary 11, 20245 updates tracked since enumeration
NPPES CertifiedJanuary 11, 2024
✔ NPI 1922468826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
13649 CHURCH ST, Williston, SC 29853

Other Names 1

Doing Business AsWilliston Family Medicine

Other Identifiers 1

MedicaidFQC#198SC

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)

Williston Family Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

48

Medicare enrollment records show 48 clinicians reassign Medicare billing to Williston Family Medicine, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 11

Nurse Practitioner23
Family Practice8
Psychiatry4
Pediatric Medicine3
General Practice2
Internal Medicine2
Ophthalmology2
Anesthesiology1
3 other specialties3

Nearest to this location (20)

See all 48
Family Practice
NPI 1003820531
130 BAKER ST N
Blackville, SC 29817
(803) 284-1045
✔ PECOS✔ Accepts Medicare10 mi
Nurse Practitioner
NPI 1720603202
130 BAKER ST N
Blackville, SC 29817
(803) 284-1045
✔ PECOS✔ Accepts Medicare10 mi
Nurse Practitioner
NPI 1063032316
130 BAKER ST N
Blackville, SC 29817
(803) 284-1045
✔ PECOS✔ Accepts Medicare10 mi
Nurse Practitioner
NPI 1831069327
86 WREN ST
Barnwell, SC 29812
(803) 259-5762
✔ PECOS✔ Accepts Medicare11 mi
Family Practice
NPI 1740543164
86 WREN ST
Barnwell, SC 29812
(803) 259-5762
✔ PECOS✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1093143836
86 WREN ST
Barnwell, SC 29812
(803) 259-5762
✔ PECOS✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1902307598
86 WREN ST
Barnwell, SC 29812
(803) 259-5762
✔ PECOS✔ Accepts Medicare11 mi
Family Practice
NPI 1689094666
86 WREN ST
Barnwell, SC 29812
(803) 259-5762
✔ PECOS✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1942834528
86 WREN ST
Barnwell, SC 29812
(803) 259-5762
✔ PECOS✔ Accepts Medicare11 mi
Family Practice
NPI 1982263323
86 WREN ST
Barnwell, SC 29812
(803) 450-1397
✔ PECOS✔ Accepts Medicare11 mi
Certified Nurse Midwife (CNM)
NPI 1730550963
124 WREN ST
Barnwell, SC 29812
(803) 259-5762
✔ PECOS✔ Accepts Medicare11 mi
Pediatric Medicine
NPI 1376685453
10706 MARLBORO AVE
Barnwell, SC 29812
(803) 259-7337
✔ PECOS✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1205389335
10706 MARLBORO AVE.
Barnwell, SC 29812
(803) 259-7337
✔ PECOS11 mi
Pediatric Medicine
NPI 1730221292
10706 MARLBORO AVE
Barnwell, SC 29812
(803) 259-7337
✔ PECOS✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1336300748
10706 MARLBORO AVE
Barnwell, SC 29812
(803) 259-7337
✔ PECOS✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1386313062
10706 MARLBORO AVE
Barnwell, SC 29812
(803) 259-7337
✔ PECOS11 mi
Pediatric Medicine
NPI 1295818987
10706 MARLBORO AVE
Barnwell, SC 29812
(803) 259-7337
✔ PECOS11 mi
Family Practice
NPI 1346700796
209 ABBEVILLE AVE NW
Aiken, SC 29801
(803) 306-1433
✔ PECOS✔ Accepts Medicare20 mi
Family Practice
NPI 1871938910
4631 SAVANNAH HWY
North, SC 29112
(803) 247-2428
✔ PECOS✔ Accepts Medicare24 mi
Internal Medicine
NPI 1356652283
185 MCGEE ST
Bamberg, SC 29003
(803) 956-6100
✔ PECOS✔ Accepts Medicare24 mi
See all 48 clinicians

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 42D2109757

Williston Family Medicine · Williston, SC
Active · expires Apr 28, 2028
CLIA Number42D2109757
Laboratory TypePhysician Office
Certificate Effective DateApril 29, 2026
Certificate Expiration DateApril 28, 2028
Laboratory DirectorJennifer D. Rahn
Laboratory Phone(803) 266-0060
Laboratory LocationWilliston Family Medicine13649 Church Street, Williston, SC 29853
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Low Country Health Care System, Inc's NPI number?

The NPI number for Low Country Health Care System, Inc is 1922468826. It was assigned to this organization in the NPPES registry on March 4, 2016. The provider is doing business as Williston Family Medicine.

Where is Low Country Health Care System, Inc located?

Low Country Health Care System, Inc is located at 13649 Church St, Williston, SC 29853. The listed phone number is (803) 266-0060.

What is Low Country Health Care System, 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 Low Country Health Care System, Inc enrolled in Medicare?

Yes. Low Country Health Care System, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Low Country Health Care System, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 48 clinicians in 11 Medicare specialties reassign their Medicare billing to Low Country Health Care System, 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 (23), Family Practice (8) and Psychiatry (4). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Low Country Health Care System, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2109757) is associated with this NPI, valid through April 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Low Country Health Care System, 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 1 other insurer list Low Country Health Care System, 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 Low Country Health Care System, Inc was last updated on January 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.