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CAROLINA UROLOGY CENTER, PA
NPI 1952561623
Urology in Fort Mill, SC

Active since June 16, 2008CLIA 42D1086540 · Microscopy
580 KINGSLEY PARK DR, SUITE 150, FORT MILL, SC 29715(803) 578-7600(803) 431-2257 Get Directions Write a Review

NPPES record last updated: December 2, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Carolina Urology Center, Pa NPPES

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

CAROLINA UROLOGY CENTER, PA (NPI 1952561623) is a healthcare organization registered as an urology in Fort Mill, South Carolina and active in the NPI registry since June 2008. The organization holds a CLIA Microscopy certificate valid through July 14, 2028 and lists Tracy Black, Administrator, as its authorized official.

NPPES Registry Identity

NPI1952561623
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameCAROLINA UROLOGY CENTER, PA
Location Address580 KINGSLEY PARK DR, SUITE 150Fort Mill, SC 29715-6403
Mailing Address1780 Medical Park DrRock Hill, SC 29732-1194 · (803) 327-1116 · Fax (803) 327-6872
Phone(803) 578-7600
Fax(803) 431-2257
Organization SubpartNo
Authorized OfficialTracy BlackAdministrator · (803) 327-1116
Enumeration DateJune 16, 2008
Last NPPES UpdateDecember 2, 2008
✔ NPI 1952561623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
580 KINGSLEY PARK DR, Fort Mill, SC 29715
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Other Identifiers 3

MedicaidPA4307SC
Medicare PINCB3351SC
Medicare PIN1456SC

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

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 for Provider-Performed Microscopy Procedures (PPMP) 42D1086540

Carolina Urology Partners, PLLC · Fort Mill, SC
Active · expires Jul 14, 2028
CLIA Number42D1086540
Laboratory TypePhysician Office
Certificate Effective DateJuly 15, 2026
Certificate Expiration DateJuly 14, 2028
Laboratory DirectorDr. Curtis J. Matthews, Jr
Laboratory Phone(803) 578-7600
Laboratory LocationCarolina Urology Partners, PLLC1698 Hwy 160 W, Suite 220, Fort Mill, SC 29708
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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 Carolina Urology Center, PA's NPI number?

The NPI number for Carolina Urology Center, PA is 1952561623. It was assigned to this organization in the NPPES registry on June 16, 2008.

Where is Carolina Urology Center, PA located?

Carolina Urology Center, PA is located at 580 Kingsley Park Dr Suite 150, Fort Mill, SC 29715. The listed phone number is (803) 578-7600.

What is Carolina Urology Center, PA's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Does Carolina Urology Center, PA hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 42D1086540) is associated with this NPI, valid through July 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Carolina Urology Center, PA was last updated on December 2, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.