BROAD RIVER WELLNESS, LLC
NPI 1992454532
Family Medicine in Sharon, SC
About Broad River Wellness, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BROAD RIVER WELLNESS, LLC (NPI 1992454532) is a healthcare organization registered as a family medicine in Sharon, South Carolina and active in the NPI registry since March 2022. The organization holds a CLIA Waiver certificate valid through March 23, 2028, maintains a secondary practice location in Clover, and lists Rebecca Baker, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Broad River Wellness, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Broad River Wellness, LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 42D2256433
Broad River Wellness, LLC · Sharon, SCFrequently 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 Broad River Wellness, LLC's NPI number?
The NPI number for Broad River Wellness, LLC is 1992454532. It was assigned to this organization in the NPPES registry on March 21, 2022.
Where is Broad River Wellness, LLC located?
Broad River Wellness, LLC is located at 4027 Woodlawn St, Sharon, SC 29742. The listed phone number is (803) 627-0220.
What is Broad River Wellness, LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Broad River Wellness, LLC enrolled in Medicare?
Yes. Broad River Wellness, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Broad River Wellness, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Broad River Wellness, LLC. 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, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Broad River Wellness, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 42D2256433) is associated with this NPI, valid through March 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Broad River Wellness, LLC accept?
Health plans from BlueCross BlueShield of South Carolina, First Choice Next and Molina Healthcare list Broad River Wellness, LLC 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 Broad River Wellness, LLC was last updated on June 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Broad River Wellness, Llc · NPI 1992454532
Family Medicine organization in Sharon, South Carolina. Organization record, active in the CMS NPPES registry since March 21, 2022.
## Identity
- **NPI:** 1992454532 (Entity type: Organization)
- **Enumerated:** March 21, 2022
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Rebecca Baker, OWNER
## Practice location
- **Address:** 4027 WOODLAWN ST, Sharon, SC 29742-8779
- **Phone:** (803) 627-0220
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 17, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1992454532) · Data from the CMS NPPES public registry.