Active NPI
Healthcare of the Carolinas, LLC
- Family Medicine Physician
- Fort Mill, SC
National Provider Identifier
1194687285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- HEALTHCARE OF THE CAROLINAS, LLC
- Practice address
- 2260 Vista Rd
Fort Mill, SC 29708-7800 - Phone
- (839) 400-2400
- NPI assigned
- Nov 26, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Corey Wilson, MD
- Title
- Physician/Hospitalist
- Phone
- (803) 681-0158
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
2260 Vista Rd
Fort Mill, SC 29708-7800
Mailing address
1750 Highway 160 W Ste 101-259
Fort Mill, SC 29708-8009
Phone (803) 681-0158
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1750 Highway 160 W
Ste 101259
Fort Mill, SC 29708
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1764115200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1766880000000",
"number": "1194687285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1750 HIGHWAY 160 W STE 101-259",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297088009",
"telephone_number": "803-681-0158",
"fax_number": "928-218-6384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2260 VISTA RD",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297087800",
"telephone_number": "839-400-2400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTHCARE OF THE CAROLINAS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-11-26",
"last_updated": "2025-12-28",
"certification_date": "2025-12-28",
"status": "A",
"authorized_official_last_name": "WILSON",
"authorized_official_first_name": "COREY",
"authorized_official_title_or_position": "PHYSICIAN/HOSPITALIST",
"authorized_official_telephone_number": "803-681-0158",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Mill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.