State of South Carolina
Organization Active NPI Public Health or Welfare Agency · Georgetown, SC
NPI 1508940784 · NPPES record last updated Oct 7, 2025
Key facts
- NPI
- 1508940784
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Public Health or Welfare Agency 251K00000X
- Legal business name
- STATE OF SOUTH CAROLINA
- Practice address
- 531 Lafayette Circle
Georgetown, SC 29440 - Phone
- (843) 546-5593
- Fax
- (846) 546-0456
- NPI assigned
- Oct 25, 2006
- Organization subpart
- No
Authorized official
- Name
- Zanna Perkins
- Title
- Director of Patient Billing
- Phone
- (803) 898-1553
Other NPIs on the same Medicare enrollment 45
Corporate family (same tax ID) 24
Practitioners 6
-
Lorraine Hansen Hensley, APRN
-
Edna Elizabeth McMillan, RN, BSN,CDE
-
Laurie Lea Scott, RN, BSN
-
Lynn Grube Wellman, MS, APRN
-
Michelline Cooper Williams, RN, MSN
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090424000393 | SC | Part B Supplier - Public Health/Welfare Agency | 4789650003 |
45 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Ridgeland, SC; Pickens, SC; Orangeburg, SC; Newberry, SC; N Charleston, SC; Moncks Corner, SC; McCormick, SC; Manning, SC… |
National Provider Directory
- Tax ID family
- SC Dept of Health and Environmental Control
Locations
531 Lafayette Cir
Georgetown, SC 29440
Phone (843) 527-1013
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | Yes |
Addresses
Primary practice location
531 Lafayette Circle
Georgetown, SC 29440
Mailing address
400 Otarre Pkwy
Cayce, SC 29033-3751
Phone (803) 898-1553
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DHEC22 | Medicaid | SC | |
| 601253 | Other | SC | SELECT HEALTH PROVIDER # |
| 000000155827 | Other | SC | UNISON HEALTH PLAN OF SC |
Other names
- Georgetown County Health Department
- SC DHEC
- SC DPH
- SC Department of Public Health
Other providers in Georgetown, SC
- St James Health and Wellness Inc
- St. James Health and Wellness Inc.
- St. James Health and Wellness Inc.
- Elizabeth St. Laurent
- Sarah Stamper
- Michelle M Steffen
- Sandra L Steiner
- Shakelia Stephens
- Dusty Stokes
- Angela Stork
All providers in Georgetown, SC · Public Health or Welfare Agency in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 7, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.