Organization Active NPI

The Carolina Center for Rheumatology and Arthritis Care, PA

  • Specialist
  • Rock Hill, SC
National Provider Identifier
1376505990
Registry record updated Feb 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
14896 Issued in SC
Legal business name
THE CAROLINA CENTER FOR RHEUMATOLOGY AND ARTHRITIS CARE, PA
Practice address
744 Arden LN
Suite 225
Rock Hill, SC 29732-3286
Phone
(803) 329-1660
Fax
(803) 329-4118
NPI assigned
Apr 6, 2006
Last updated
Feb 17, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2009

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

Authorized official

Name
Ms. Jennifer Mary Patronik
Title
Office Manager
Phone
(803) 329-1660

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 14896 SC Primary
Specialist 174400000X 17962 SC
Specialist 174400000X 39768 NC
Specialist 174400000X 01456 NC

Addresses

Primary practice location

744 Arden LN
Suite 225
Rock Hill, SC 29732-3286

Mailing address

744 Arden Lane
Suite 225
Rock Hill, SC 29732-2984
Phone (803) 329-1660

Other identifiers 1

IdentifierTypeStateIssuer
CC6002MedicaidSC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041006001106 SC Part B Supplier - Clinic/Group Practice 4385603281 Receives reassigned benefits from 2 practitioners
Practice locations: Rock Hill, 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
42D2083489The Carolina Center for Rheumatology and Arthritis744 Arden Lane, Ste 225, Rock Hill, SC 29732AccreditationSep 18, 2026

National Provider Directory

National Provider Directory

Locations

744 Arden Ln
Ste 225
Rock Hill, SC 29732
Phone (803) 329-1660

Practitioners & affiliated clinicians

Practitioners 2

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": "1144281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234828800000",
    "number": "1376505990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "744 ARDEN LANE",
            "address_2": "SUITE 225",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297322984",
            "telephone_number": "803-329-1660",
            "fax_number": "803-329-4118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 ARDEN LN",
            "address_2": "SUITE 225",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297323286",
            "telephone_number": "803-329-1660",
            "fax_number": "803-329-4118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CAROLINA CENTER FOR RHEUMATOLOGY AND ARTHRITIS CARE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-06",
        "last_updated": "2009-02-17",
        "status": "A",
        "authorized_official_last_name": "PATRONIK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "803-329-1660",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "SC",
            "license": "14896",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "SC",
            "license": "17962",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "39768",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "01456",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CC6002",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2009; 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.