Caresouth Carolina Inc.

A Medicare group practice based in Bennettsville, SC: 12 NPIs enrolled under one PECOS associate control ID (PAC ID 1052221314), with 96 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
1052221314The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
Enrolled in
SC
Enrollments
13
Group size
66 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
27In 10 places

Enrollment records 13

Enrollment IDStateProvider typeNPI
O20030827000025 SC Part A Provider - Federally Qualified Health Center (FQHC) 1457398521
O20030530000008 SC Part A Provider - Federally Qualified Health Center (FQHC) 1780627943
O20030530000010 SC Part A Provider - Federally Qualified Health Center (FQHC) 1811930076
O20040511000280 SC Part B Supplier - Clinic/Group Practice 1720082571
O20041217000272 SC Part A Provider - Federally Qualified Health Center (FQHC) 1629015755
O20160502001443 SC Part A Provider - Federally Qualified Health Center (FQHC) 1568859130
O20160225002736 SC Part A Provider - Federally Qualified Health Center (FQHC) 1972980621
O20141024002045 SC Part A Provider - Federally Qualified Health Center (FQHC) 1255762936
O20100526000204 SC Part A Provider - Federally Qualified Health Center (FQHC) 1285677443
O20100526000251 SC Part A Provider - Federally Qualified Health Center (FQHC) 1720082571
O20100525001091 SC Part A Provider - Federally Qualified Health Center (FQHC) 1194763714
O20101006000484 SC Part A Provider - Federally Qualified Health Center (FQHC) 1942247846
O20110923000018 SC Part A Provider - Federally Qualified Health Center (FQHC) 1639458672

NPIs in this group 12

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 96

Clinicians who reassign their Medicare benefits to this group (95) or whom Care Compare lists as members (66).

Sources for this page