NPIMap

Organization Active NPI

Low Country Health Care System, Inc.

  • Federally Qualified Health Center (FQHC)
  • Aiken, SC
National Provider Identifier
1194288571
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
LOW COUNTRY HEALTH CARE SYSTEM, INC.
Practice address
209 Abbeville Ave NW
Aiken, SC 29801-3923
Phone
(803) 632-2533
Fax
(803) 632-2451
NPI assigned
Apr 11, 2019
Organization subpart
Yes
Parent organization
LOW COUNTRY HEALTH CARE SYSTEM, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Darainey Hudson
Title
Chief Compliance Officer
Phone
(803) 632-2533

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

209 Abbeville Ave NW
Aiken, SC 29801-3923

Mailing address

86 Wren St
Barnwell, SC 29812-1529
Phone (803) 259-5762

Other identifiers 1

IdentifierTypeStateIssuer
6850OtherSCMEDICARE

Other names 1

  • Aiken Family Medicine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031211000944 SC Part B Supplier - Clinic/Group Practice 4284530940 Receives reassigned benefits from 55 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Aiken, SC; Barnwell, SC; Fairfax, SC; Williston, SC
O20191104002947 SC Part A Provider - Federally Qualified Health Center (FQHC) 4284530940 Practice locations: Aiken, SC

Federally qualified health center certification: CCN 421067

Legal name
LOW COUNTRY HEALTH CARE SYSTEM INC
Doing business as
AIKEN SPECIALTY SERVICES
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Nov 5, 2019
Last certification
Nov 5, 2019
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
Dec 8, 1997 in SC
Enrollment address
209 Abbeville Ave NW
Aiken, SC 29801-3923

Other NPIs with the same Medicare PAC ID 9

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D2167104Aiken Family Medicine209 Abbeville Avenue NW, Aiken, SC 29801ComplianceAug 14, 2027

National Provider Directory

National Provider Directory
Tax ID family
Low Country Health Care System Inc9 organizations share this tax ID, including this one
Part of
Low Country Health Care System Inc

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

526 North St
Bamberg, SC 29003
Phone (803) 245-2433

13975 Church St
Williston, SC 29853
Phone (803) 266-0060

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Ashley L Barnes Individual Corporate OfficerChief Exec Officer Oct 11, 2011
Low Country Health Care System Inc Organization, Aiken, SC Operational/Managerial Control Oct 1, 2019 100%
Hope Rhule Individual W-2 Managing Employee Jun 10, 2026
Darainey Hudson Individual Corporate OfficerCco Jan 1, 2019
Amanda Bridgmon Individual Corporate OfficerChief Revenue Officer Jan 2, 2026

Owners & managing parties with NPI records 9

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Barnwell PediatricsBarnwell, SC, CCN 421043 Federally qualified health center Operational/Managerial Control May 1, 2014
Padgett Family PracticeBamberg, SC, CCN 421056 Federally qualified health center Operational/Managerial Control (100%) May 1, 2018

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 46

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 46

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1554940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735516800000",
    "number": "1194288571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 WREN ST",
            "city": "BARNWELL",
            "state": "SC",
            "postal_code": "298121529",
            "telephone_number": "803-259-5762",
            "fax_number": "803-259-3250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 ABBEVILLE AVE NW",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298013923",
            "telephone_number": "803-632-2533",
            "fax_number": "803-632-2451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOW COUNTRY HEALTH CARE SYSTEM, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LOW COUNTRY HEALTH CARE SYSTEM, INC.",
        "enumeration_date": "2019-04-11",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "DARAINEY",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "803-632-2533"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "6850",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aiken Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aiken, SC

Sources for this page

Verify at the official NPI Registry.