SANDHILLS MEDICAL FOUNDATION, INC.
NPI 1922584481
Clinic/Center - Federally Qualified Health Center (FQHC) in Ruby, SC
About Sandhills Medical Foundation, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SANDHILLS MEDICAL FOUNDATION, INC. (NPI 1922584481) is a healthcare organization registered as a federally qualified health center (fqhc) in Ruby, South Carolina and active in the NPI registry since July 2018. The organization holds a CLIA Waiver certificate valid through July 23, 2028, maintains a secondary practice location in Mc Bee, and lists Ernest James Stanley Wardlaw, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 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)
Sandhills Medical Foundation, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
33Medicare enrollment records show 33 clinicians reassign Medicare billing to Sandhills Medical Foundation, Inc., which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 9
Nearest to this location (20)
See all 33Source: 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 42D2151677
Sandhills Medical Foundation, Inc Of Ruby · Ruby, 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 Sandhills Medical Foundation, Inc.'s NPI number?
The NPI number for Sandhills Medical Foundation, Inc. is 1922584481. It was assigned to this organization in the NPPES registry on July 17, 2018.
Where is Sandhills Medical Foundation, Inc. located?
Sandhills Medical Foundation, Inc. is located at 290 Market Street, Ruby, SC 29741. The listed phone number is (843) 335-8291.
What is Sandhills Medical Foundation, 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 Sandhills Medical Foundation, Inc. enrolled in Medicare?
Yes. Sandhills Medical Foundation, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Sandhills Medical Foundation, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 33 clinicians in 9 Medicare specialties reassign their Medicare billing to Sandhills Medical Foundation, 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 (13), Family Practice (9) and Clinical Social Worker (3). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Sandhills Medical Foundation, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 42D2151677) is associated with this NPI, valid through July 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Sandhills Medical Foundation, Inc. accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, First Choice Next and Molina Healthcare list Sandhills Medical Foundation, 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 Sandhills Medical Foundation, Inc. was last updated on September 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Sandhills Medical Foundation, Inc. · NPI 1922584481
Federally Qualified Health Center (FQHC) organization in Ruby, South Carolina. Organization record, active in the CMS NPPES registry since July 17, 2018.
## Identity
- **NPI:** 1922584481 (Entity type: Organization)
- **Enumerated:** July 17, 2018
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Organization subpart:** No
- **Authorized official:** Ernest Wardlaw, CEO
## Practice location
- **Address:** 290 MARKET STREET, Ruby, SC 29741
- **Phone:** (843) 335-8291
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 33 clinicians in 9 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (13), Family Practice (9), Clinical Social Worker (3); [full list](https://npiprofile.com/npi/1922584481/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 29, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1922584481) · Data from the CMS NPPES public registry.