Organization Active NPI

Carolina Health Associates LLC

  • Urgent Care Clinic/Center
  • Greenville, SC
National Provider Identifier
1235855172
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
CAROLINA HEALTH ASSOCIATES LLC
Practice address
3807 White Horse Rd Ste D & E
Greenville, SC 29611-5598
Phone
(864) 881-2252
NPI assigned
Oct 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

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

Authorized official

Name
Steven Smith
Title
Credentialing Manager
Phone
(502) 244-9859

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

3807 White Horse Rd Ste D & E
Greenville, SC 29611-5598

Mailing address

3807 White Horse Rd Ste D&E
Greenville, SC 29611-5598
Phone (864) 881-2252

Other names 1

  • CAROLINA HEALTH URGENT CARE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221108001575 SC Part B Supplier - Clinic/Group Practice 6709253586 Receives reassigned benefits from 4 practitioners
Practice locations: Greenville, SC

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
42D2277846Carolina Health Associates LLC Dba3807 White Horse Road, Suite D & E, Greenville, SC 29611Certificate of waiverMar 6, 2027

National Provider Directory

National Provider Directory

Locations

3807 White Horse Rd
Ste D
Greenville, SC 29611
Phone (864) 881-2252

3807 White Horse Rd
Ste De
Greenville, SC 29611

3807 White Horse Rd
Greenville, SC 29611
Phone (864) 236-5688

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1665532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677110400000",
    "number": "1235855172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3807 WHITE HORSE RD STE D&E",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296115598",
            "telephone_number": "864-881-2252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3807 WHITE HORSE RD STE D & E",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296115598",
            "telephone_number": "864-881-2252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA HEALTH ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-12",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "502-244-9859"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CAROLINA HEALTH URGENT CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.