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CENTERWELL SENIOR PRIMARY CARE-CAYCE
NPI 1962101501
Internal Medicine in West Columbia, SC

Active since March 02, 2023CLIA 42D2281289 · Waiver
1612 AIRPORT BLVD, WEST COLUMBIA, SC 29169(803) 380-6399(877) 484-7187 Get Directions Write a Review

NPPES record last updated: August 19, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 19, 2024, Aug 11, 2023, Mar 2, 2023 (3 updates tracked since 2023).

About Centerwell Senior Primary Care-cayce NPPES

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

CENTERWELL SENIOR PRIMARY CARE-CAYCE (NPI 1962101501) is a healthcare organization registered as an internal medicine in West Columbia, South Carolina and active in the NPI registry since March 2023. The organization holds a CLIA Waiver certificate valid through May 3, 2027 and lists Angie Martinez, Senior Credentialing Professional, as its authorized official.

NPPES Registry Identity

NPI1962101501
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCENTERWELL SENIOR PRIMARY CARE SC JV PC
Location Address1612 AIRPORT BLVDWest Columbia, SC 29169-5016
Mailing Address6101 Blue Lagoon Dr Ste 200Miami, FL 33126-3168 · (305) 500-2000
Phone(803) 380-6399
Fax(877) 484-7187
Organization SubpartYes
Authorized OfficialAngie MartinezSenior Credentialing Professional · (407) 447-7120
Enumeration DateMarch 2, 2023
Last NPPES UpdateAugust 19, 20243 updates tracked since enumeration
NPPES CertifiedAugust 19, 2024
✔ NPI 1962101501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedGeneral PracticeTaxonomy 208D00000X
1612 AIRPORT BLVD, West Columbia, SC 29169
Open in Google Maps ↗

Other Names 1

Doing Business AsCenterwell Senior Primary Care-cayce

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 of Waiver 42D2281289

Centerwell Senior Primary Care-Cayce · West Columbia, SC
Active · expires May 3, 2027
CLIA Number42D2281289
Laboratory TypePhysician Office
Certificate Effective DateMay 4, 2025
Certificate Expiration DateMay 3, 2027
Laboratory DirectorDr. Erica Savage-Jeter
Laboratory Phone(803) 380-6399
Laboratory LocationCenterwell Senior Primary Care-Cayce1612 Airport Blvd, West Columbia, SC 29169
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

ASHLEY NIX FNP
Nurse Practitioner (Family)
1612 AIRPORT BLVD
WEST COLUMBIA, SC 29169
Lexington County (803) 380-6399
TEQUILA ANDERSON NP
Nurse Practitioner (Primary Care)
1612 AIRPORT BLVD
WEST COLUMBIA, SC 29169
Lexington County (803) 380-6399
LORELI MUNFORD
Internal Medicine
1612 AIRPORT BLVD
WEST COLUMBIA, SC 29169
Lexington County (803) 380-6399
ROBERT MORRIS SMITH M.D.
Family Medicine
1612 AIRPORT BLVD
WEST COLUMBIA, SC 29169
Lexington County (803) 380-6399

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 Centerwell Senior Primary Care Sc Jv PC's NPI number?

The NPI number for Centerwell Senior Primary Care Sc Jv PC is 1962101501. It was assigned to this organization in the NPPES registry on March 2, 2023. The provider is doing business as Centerwell Senior Primary Care-Cayce.

Where is Centerwell Senior Primary Care Sc Jv PC located?

Centerwell Senior Primary Care Sc Jv PC is located at 1612 Airport Blvd, West Columbia, SC 29169. The listed phone number is (803) 380-6399.

What is Centerwell Senior Primary Care Sc Jv PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Centerwell Senior Primary Care Sc Jv PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2281289) is associated with this NPI, valid through May 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Centerwell Senior Primary Care Sc Jv PC was last updated on August 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.