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ST MATTHEWS FAMILY PRACTICE
NPI 1942430871
Family Medicine in St Matthews, SC

Active since July 27, 2009
725 HARRY C RAYSOR DR, ST MATTHEWS, SC 29135(803) 874-3902(803) 874-3905 Get Directions Write a Review

NPPES record last updated: January 30, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About St Matthews Family Practice NPPES

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

ST MATTHEWS FAMILY PRACTICE (NPI 1942430871) is a healthcare organization registered as a family medicine in St Matthews, South Carolina and active in the NPI registry since July 2009. The organization lists Lisa M Goodlett, C.o.o., as its authorized official.

NPPES Registry Identity

NPI1942430871
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameEDISTO REGIONAL HEALTH SERVICES
Location Address725 HARRY C RAYSOR DRSt Matthews, SC 29135-8403
Mailing AddressPo Box 1245Orangeburg, SC 29116-1245 · (803) 395-4497 · Fax (803) 536-0998
Phone(803) 874-3902
Fax(803) 874-3905
Organization SubpartNo
Authorized OfficialLisa M GoodlettC.o.o. · (803) 395-2200
Enumeration DateJuly 27, 2009
Last NPPES UpdateJanuary 30, 2012
✔ NPI 1942430871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
725 HARRY C RAYSOR DR, St Matthews, SC 29135
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Other Names 1

Doing Business AsSt Matthews Family Practice

Other Identifiers 1

Medicare PIN5677SC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

St Matthews Family Practice is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

35

Medicare enrollment records show 35 clinicians reassign Medicare billing to St Matthews Family Practice, which bills Medicare for the services they deliver. Of these, 8 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 7

Nurse Practitioner14
Family Practice11
Internal Medicine5
Physician Assistant2
Certified Nurse Midwife (CNM)1
Emergency Medicine1
Hospice/Palliative Care1

Nearest to this location (20)

See all 35
Latosha Corley
Nurse Practitioner
NPI 1376193383
3000 SAINT MATTHEWS RD
Orangeburg, SC 29118
(803) 395-2200
✔ PECOS✔ Accepts Medicare8.6 mi
Timothy Shaver, M.D.
Family Practice
NPI 1275598674
3000 SAINT MATTHEWS RD
Orangeburg, SC 29118
(803) 395-2200
✔ PECOS✔ Accepts Medicare8.6 mi
Courtney Snell
Nurse Practitioner
NPI 1376185314
3000 SAINT MATTHEWS RD
Orangeburg, SC 29118
(803) 395-2200
✔ PECOS✔ Accepts Medicare8.6 mi
Brenda Wilhite, APRN, BC
Nurse Practitioner
NPI 1255443891
3000 SAINT MATTHEWS RD
Orangeburg, SC 29118
(803) 395-2576
✔ PECOS8.6 mi
Brian Kendall, MD
Internal Medicine
NPI 1710963269
3000 SAINT MATTHEWS RD
Orangeburg, SC 29118
(803) 395-2200
✔ PECOS8.6 mi
Alvin Reaves, MD
Hospice/Palliative Care
NPI 1457337768
3000 SAINT MATTHEWS RD
Orangeburg, SC 29118
(803) 395-2200
✔ PECOS✔ Accepts Medicare8.6 mi
Elzbieta Ostoja, MSN, FNP
Nurse Practitioner
NPI 1003006099
1137 COOK RD
Orangeburg, SC 29118
(803) 395-3411
✔ PECOS✔ Accepts Medicare8.6 mi
Melanie Kittrell, CNM
Certified Nurse Midwife (CNM)
NPI 1104312214
3310 MAGNOLIA ST
Orangeburg, SC 29115
(803) 531-6908
✔ PECOS✔ Accepts Medicare9.5 mi
William Baly, M.D.
Internal Medicine
NPI 1831108919
1750 VILLAGE PARK DR
Orangeburg, SC 29118
(803) 395-4160
✔ PECOS✔ Accepts Medicare10 mi
John Hayden, MD
Family Practice
NPI 1598721243
1619 CAROLINA AVE
Orangeburg, SC 29115
(803) 531-7474
✔ PECOS✔ Accepts Medicare12 mi
Erin Castellano, A.P.R.N
Nurse Practitioner
NPI 1407045404
970 HOLLY ST
Orangeburg, SC 29115
(803) 531-2722
✔ PECOS✔ Accepts Medicare12 mi
Candace Holstein, NP
Nurse Practitioner
NPI 1659046878
1177 LEE BLVD
Orangeburg, SC 29118
(803) 533-0148
✔ PECOS✔ Accepts Medicare12 mi
Tara Hook, M.D.
Family Practice
NPI 1871938910
4631 SAVANNAH HWY
North, SC 29112
(803) 247-2428
✔ PECOS✔ Accepts Medicare19 mi
William Braswell, M.D.
Family Practice
NPI 1952374316
526 NORTH ST
Bamberg, SC 29003
(803) 245-2433
✔ PECOS28 mi
Lee Ross, FNP-C
Nurse Practitioner
NPI 1982116331
526 NORTH ST
Bamberg, SC 29003
(803) 245-2433
✔ PECOS✔ Accepts Medicare28 mi
Kelenne Tuitt, D.O.
Family Practice
NPI 1538419429
498 NORTH ST
Bamberg, SC 29003
(803) 395-4497
✔ PECOS✔ Accepts Medicare28 mi
Rachel Danford, DNP,APRN,NP-C,FNP-BC
Nurse Practitioner
NPI 1508101163
900 ASSEMBLY ST
Columbia, SC 29201
(803) 212-7016
✔ PECOS✔ Accepts Medicare28 mi
Mieke Perez, MD
Emergency Medicine
NPI 1881670305
14 RICHLAND MEDICAL PARK DR STE 320
Columbia, SC 29203
(803) 434-6771
✔ PECOS✔ Accepts Medicare29 mi
Tracy Reeves, PA
Physician Assistant
NPI 1053526772
110 NNPTC CIR
Goose Creek, SC 29445
(843) 794-6840
✔ PECOS✔ Accepts Medicare61 mi
Robert Webb, MD
Internal Medicine
NPI 1699723262
989 RIBAUT RD SUITE 260
Beaufort, SC 29902
(843) 522-7600
✔ PECOS86 mi
See all 35 clinicians

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 Edisto Regional Health Services's NPI number?

The NPI number for Edisto Regional Health Services is 1942430871. It was assigned to this organization in the NPPES registry on July 27, 2009. The provider is doing business as St Matthews Family Practice.

Where is Edisto Regional Health Services located?

Edisto Regional Health Services is located at 725 Harry C Raysor Dr, St Matthews, SC 29135. The listed phone number is (803) 874-3902.

What is Edisto Regional Health Services's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Edisto Regional Health Services enrolled in Medicare?

Yes. Edisto Regional Health Services is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Edisto Regional Health Services?

According to the CMS Revalidation Reassignment List (October 2026 release), 35 clinicians in 7 Medicare specialties reassign their Medicare billing to Edisto Regional Health Services. 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 (14), Family Practice (11) and Internal Medicine (5). Of these, 8 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 Edisto Regional Health Services was last updated on January 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.