Organization Active NPI

Molina Healthcare of South Carolina, Inc.

  • Health Maintenance Organization
  • Daniel Island, SC
National Provider Identifier
1477496644
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
MOLINA HEALTHCARE OF SOUTH CAROLINA, INC.
Practice address
115 Fairchild St Ste 340
Daniel Island, SC 29492-7602
Phone
(843) 680-1943
NPI assigned
Apr 13, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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

Authorized official

Name
William R Phipps
Title
Plan President
Phone
(843) 680-1943

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

115 Fairchild St Ste 340
Daniel Island, SC 29492-7602

Mailing address

115 Fairchild St Ste 340
Daniel Island, SC 29492-7602
Phone (843) 680-1943

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1776038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776038400000",
    "number": "1477496644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 FAIRCHILD ST STE 340",
            "city": "DANIEL ISLAND",
            "state": "SC",
            "postal_code": "294927602",
            "telephone_number": "843-680-1943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 FAIRCHILD ST STE 340",
            "city": "DANIEL ISLAND",
            "state": "SC",
            "postal_code": "294927602",
            "telephone_number": "843-680-1943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOLINA HEALTHCARE OF SOUTH CAROLINA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-13",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A",
        "authorized_official_last_name": "PHIPPS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PLAN PRESIDENT",
        "authorized_official_telephone_number": "843-680-1943"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daniel Island, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.