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PALMETTO PEDIATRICS OF CONWAY
NPI 1962481531
Specialist in Conway, SC

Active since January 12, 2006CLIA 42D1040092 · Waiver
171 WACCAMAW MEDICAL PARK CT, CONWAY, SC 29526(843) 234-5678(843) 234-4567 Get Directions Write a Review

NPPES record last updated: January 27, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Palmetto Pediatrics Of Conway NPPES

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

PALMETTO PEDIATRICS OF CONWAY (NPI 1962481531) is a healthcare organization registered as a specialist in Conway, South Carolina and active in the NPI registry since January 2006. The organization holds a CLIA Waiver certificate valid through April 28, 2027 and lists Brian M Rabon, Md, as its authorized official.

NPPES Registry Identity

NPI1962481531
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePALMETTO PEDIATRICS OF CONWAY
Location Address171 WACCAMAW MEDICAL PARK CTConway, SC 29526-8965
Mailing Address171 Waccamaw Medical Park CtConway, SC 29526-8965 · (843) 234-5678 · Fax (843) 234-4567
Phone(843) 234-5678
Fax(843) 234-4567
Organization SubpartNo
Authorized OfficialBrian M RabonMd · (843) 234-5678
Enumeration DateJanuary 12, 2006
Last NPPES UpdateJanuary 27, 2011
✔ NPI 1962481531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in SC · 22576
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
171 WACCAMAW MEDICAL PARK CT, Conway, SC 29526
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Other Identifiers 3

Medicare UPINI29483SC
Medicare PIN8258SC
MedicaidGP4121SC

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, Molina Healthcare.Insurance ›

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 42D1040092

Palmetto Pediatrics Of Conway · Conway, SC
Active · expires Apr 28, 2027
CLIA Number42D1040092
Laboratory TypePhysician Office
Certificate Effective DateApril 29, 2025
Certificate Expiration DateApril 28, 2027
Laboratory DirectorBrian M. Rabon
Laboratory Phone(843) 234-5678
Laboratory LocationPalmetto Pediatrics Of Conway140 Professional Park Drive, Conway, SC 29526
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

MRS. SELEAH LAVETTE CROSLAND M.A, LPC,NCC
Counselor (Mental Health)
171 WACCAMAW MEDICAL PARK CT
CONWAY, SC 29526
Horry County (843) 798-1158

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 Palmetto Pediatrics Of Conway's NPI number?

The NPI number for Palmetto Pediatrics Of Conway is 1962481531. It was assigned to this organization in the NPPES registry on January 12, 2006.

Where is Palmetto Pediatrics Of Conway located?

Palmetto Pediatrics Of Conway is located at 171 Waccamaw Medical Park Ct, Conway, SC 29526. The listed phone number is (843) 234-5678.

What is Palmetto Pediatrics Of Conway's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Palmetto Pediatrics Of Conway hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D1040092) is associated with this NPI, valid through April 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Palmetto Pediatrics Of Conway accept?

Health plans from BlueCross BlueShield of South Carolina and Molina Healthcare list Palmetto Pediatrics Of Conway as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Palmetto Pediatrics Of Conway was last updated on January 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.