PORT ROYAL MEDICAL CENTER
NPI 1942554886
Clinic/Center - Federally Qualified Health Center (FQHC) in Port Royal, SC

Q: What is Beaufort Jasper Hampton Comprehensive Health Services, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Active since October 30, 2012

1320 RIBAUT RD, PORT ROYAL, SC 29935(843) 986-0900(843) 986-0566 Get Directions Write a Review

NPPES record last updated: August 9, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 9, 2022, Aug 8, 2016 (2 updates tracked since 2016).

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About Port Royal Medical Center NPPES

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

PORT ROYAL MEDICAL CENTER (NPI 1942554886) is a healthcare organization registered as a federally qualified health center (fqhc) in Port Royal, South Carolina and active in the NPI registry since October 2012. The organization lists Roland J Gardner, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1942554886

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameBEAUFORT JASPER HAMPTON COMPREHENSIVE HEALTH SERVICES, INC.

Location Address1320 RIBAUT RDPort Royal, SC 29935-1118

Mailing Address721 N Okatie Hwy # 170Ridgeland, SC 29936-8276 · (843) 987-7400 · Fax (843) 987-7498

Phone(843) 986-0900

Fax(843) 986-0566

Organization SubpartNo

Authorized OfficialRoland J GardnerChief Executive Officer · (843) 987-7400

Enumeration DateOctober 30, 2012

Last NPPES UpdateAugust 9, 20222 updates tracked since enumeration

NPPES CertifiedAugust 9, 2022

✔ NPI 1942554886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

License✔ Licensed in SC · FQC102

Also ListedClinic/Center · Community HealthTaxonomy 261QC1500X · License GP2554 (SC)

Also ListedClinic/Center · DentalTaxonomy 261QD0000X · License 295441 (SC)

Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X · License CBP005 (SC)

Also ListedClinic/Center · Medical SpecialtyTaxonomy 261QM2500X · License FQC102 (SC)

Also ListedClinic/Center · Radiology, MammographyTaxonomy 261QR0206X

1320 RIBAUT RD, Port Royal, SC 29935

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Other Names 1

Doing Business AsPort Royal Medical Center

Other Identifiers 1

MedicaidFQC102SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Port Royal Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateSouth CarolinaEnrollment IDO20091014000281Part A · Federally Qualified Health Center (FQHC)Due dateNovember 30, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FAITH LAWRENCE POLKEY M.D., M.P.H.

Pediatrics