Kid Care Pediatric Urgent Care, LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

KID CARE PEDIATRIC URGENT CARE, LLC

Practice address

212 Main St Ste a
Conway, SC 29526-5129

Phone

(843) 340-2672

NPI assigned

Feb 22, 2023

Last updated

Nov 19, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Summer Watts, APRN, FNPNPI 1699483560

Title

FNP

Phone

(843) 340-2672

Specialties & licenses 2

Addresses

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

CLIA laboratory certificates

Locations

Practitioners 3

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.

• Summer Watts, FNP

  • Family Nurse Practitioner
  • Loris, SC
  • NPI 1699483560
  NPD Authorized official
• Amanda Lynn Wilburn, FNP

  • Family Nurse Practitioner
  • Little River, SC
  • NPI 1225659394
  NPD (past)
• Sara Nicole Estes, FNP

  • Family Nurse Practitioner
  • Newburgh, NY
  • NPI 1730815739
  NPD (past)

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

{
    "created_epoch": "1677024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763510400000",
    "number": "1255039707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 MAIN ST STE A",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295265129",
            "telephone_number": "843-488-7337",
            "fax_number": "843-488-7338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 MAIN ST STE A",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295265129",
            "telephone_number": "843-340-2672"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "235 Village Center Blvd Unit 2",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295796772",
            "country_code": "US",
            "telephone_number": "843-488-7337",
            "fax_number": "843-488-7338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KID CARE PEDIATRIC URGENT CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-22",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A",
        "authorized_official_last_name": "WATTS",
        "authorized_official_first_name": "SUMMER",
        "authorized_official_title_or_position": "FNP",
        "authorized_official_telephone_number": "843-340-2672",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN, FNP"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Kellner, ADC
• Candace C. Kelly, LMSW
• Denise Cline Kelly
• Nanette C Kelly, FNP-C
• Stephen Jeffrey Kesler
• Kids Care Medical
• Casmir Michal Kielar, MD
• Jason Lee Kiggins, DMD
• Tiara Kind
• Mary K Kindley

• Urgent Care Clinic/Center in Conway, SC
• Providers in Conway, SC by specialty
• Urgent Care Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.