LIFECARE SUPPORTIVE MEDICINE INCORPORATED
NPI 1962351338
Internal Medicine - Hospice and Palliative Medicine in Conway, SC

Active since January 27, 2026
1314 3RD AVE, CONWAY, SC 29526(910) 796-7900(910) 796-7901 Get Directions Write a Review

NPPES record last updated: January 27, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lifecare Supportive Medicine Incorporated NPPES

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

LIFECARE SUPPORTIVE MEDICINE INCORPORATED (NPI 1962351338) is a healthcare organization registered as a hospice and palliative medicine in Conway, South Carolina and active in the NPI registry since January 2026. The organization lists Jason Pisani, Vp Of Finance, as its authorized official.

NPPES Registry Identity

NPI1962351338
Entity TypeOrganization
Primary Taxonomy207RH0002X
Legal Business NameLIFECARE SUPPORTIVE MEDICINE INCORPORATED
Location Address1314 3RD AVEConway, SC 29526-5002
Mailing Address1414 Physicians DrWilmington, NC 28401-7335 · (910) 796-7988 · Fax (910) 341-1908
Fax(910) 796-7901
Organization SubpartYesParent: Lower Cape Fear Hospice Incorporated
Authorized OfficialJason PisaniVp Of Finance · (910) 796-7952
Enumeration DateJanuary 27, 2026
NPPES CertifiedJanuary 27, 2026
✔ NPI 1962351338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RH0002X
Definition
An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
1314 3RD AVE, Conway, SC 29526

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)

Lifecare Supportive Medicine Incorporated is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Lifecare Supportive Medicine Incorporated, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Internal Medicine
NPI 1235162249
300 SINGLETON RIDGE RD CONWAY MEDICAL CENTER
Conway, SC 29526
(843) 347-1523
✔ PECOS✔ Accepts Medicare4.3 mi
Nurse Practitioner
NPI 1629594809
2404 WISE RD
Conway, SC 29526
(843) 698-2663
✔ PECOS✔ Accepts Medicare4.5 mi
Internal Medicine
NPI 1689106445
809 82ND PARKWAY GRAND STRAND MEDICAL CENTER,
Myrtle Beach, SC 29572
(843) 236-1950
✔ PECOS✔ Accepts Medicare14 mi
Nurse Practitioner
NPI 1578518429
8216 DEVON CT
Myrtle Beach, SC 29572
(843) 848-6480
✔ PECOS14 mi

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 Lifecare Supportive Medicine Incorporated's NPI number?

The NPI number for Lifecare Supportive Medicine Incorporated is 1962351338. It was assigned to this organization in the NPPES registry on January 27, 2026.

Where is Lifecare Supportive Medicine Incorporated located?

Lifecare Supportive Medicine Incorporated is located at 1314 3rd Ave, Conway, SC 29526. The listed phone number is (910) 796-7900.

What is Lifecare Supportive Medicine Incorporated's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207RH0002X.

Is Lifecare Supportive Medicine Incorporated enrolled in Medicare?

Yes. Lifecare Supportive Medicine Incorporated is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lifecare Supportive Medicine Incorporated?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Lifecare Supportive Medicine Incorporated, in Internal Medicine and Nurse Practitioner. 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. Of these, 2 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 Lifecare Supportive Medicine Incorporated was last updated on January 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.