Walterboro Adult & Pediatric Medicine, LLC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

License

SC217768 Issued in SC

Legal business name

WALTERBORO ADULT & PEDIATRIC MEDICINE, LLC

Practice address

447 Spruce St
Walterboro, SC 29488-2766

Phone

(843) 549-6331

Fax

(843) 782-4380

NPI assigned

Jan 6, 2010

Organization subpart

No

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

Authorized official

Name

Mr. John Glenn Creel, M.D.NPI 1992708309

Title

Ceo

Phone

(843) 549-6331

Specialties & licenses 1

Addresses

Practitioners 1

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

• John Glenn Creel, M.D.

  • Family Medicine Physician
  • Walterboro, SC
  • NPI 1992708309
  NPD Authorized official

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

{
    "created_epoch": "1262736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775606400000",
    "number": "1376873802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "447 SPRUCE ST",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294882766",
            "telephone_number": "843-549-6331",
            "fax_number": "843-782-4380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "447 SPRUCE ST",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294882766",
            "telephone_number": "843-549-6331",
            "fax_number": "843-782-4380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTERBORO ADULT & PEDIATRIC MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-06",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A",
        "authorized_official_last_name": "CREEL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "GLENN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "843-549-6331",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "SC",
            "license": "SC217768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Walgreen Co
• Walgreen Co
• Juliette Walker, M.D.
• Walterboro Adult and Pediatric Medicine,LLC
• Walterboro Community Hospital, Inc.
• Walterboro Community Hospital, Inc.
• Walterboro Community Hospital, Inc.
• Walterboro Community Hospital, Inc.

• All providers in Walterboro, SC
• Rural Health Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.