Minuteclinic Primary Care South Carolina LLC
Organization Active NPI Family Nurse Practitioner · Simpsonville, SC
NPI 1548070071 · NPPES record last updated Dec 17, 2025
Key facts
- NPI
- 1548070071
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- Legal business name
- MINUTECLINIC PRIMARY CARE SOUTH CAROLINA LLC
- Practice address
- 698 Fairview Rd
Simpsonville, SC 29680-6708 - Phone
- (866) 389-2727
- NPI assigned
- Jan 8, 2025
- Organization subpart
- Yes
- Parent organization (as reported)
- PRIMARY CARE PLLC
Authorized official
- Name
- Deborah Pincince
- Title
- Administrator
- Phone
- (401) 770-3813
Member of 1
Practitioners 115
-
Subrata Yorell Alford, APRN
-
Jessica Bacon, FNP
-
Emily Benton, FNP-BC
-
Christan Blatchford, FNP-C
-
Danielle Louise Bollinger, MSN-NLE, FNP-C
-
Sara D Bowers, FNP
-
Madison Leigh Boyce, FNP-BC
-
Iris Boyd, APRN
-
Joy Elizabeth Britt, NP-C
-
Amy Brown, FNP
-
Kara Elizabeth Brown, MSN, APRN, FNP-C
-
Jodi Bryson, FNP-BC
-
John C Champion, FNP
-
Jennifer L. Cheek, N.P.
-
Eric Todd Chesney, FNP-BC
-
Shari L Clarke, APRN
-
Hannah Sue Cline, FNP-BC
-
Melissa Ellis Dammann, ACNP, FNP
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 42D2323498 | Minuteclinic Primary Care-South Carolina, LLC | Certificate of waiver | May 7, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250918001616 | SC | Part B Supplier - Clinic/Group Practice | 2466956826 |
Receives reassigned benefits from 114 practitioners Practice locations: Mauldin, SC; Moore, SC; Irmo, SC; Mount Pleasant, SC; Murrells Inlet, SC; Myrtle Beach, SC; North Augusta, SC; North Charleston, SC… |
National Provider Directory
- Part of
- Primary Care PLLC
Locations
1405 E Greenville St
Anderson, SC 29621
Phone (864) 224-8797
1008 Lake Murray Blvd
Irmo, SC 29063
Phone (803) 749-3843
5608 Sunset Blvd
Lexington, SC 29072
Phone (334) 750-1566
5895 Reidville Rd
Moore, SC 29369
Phone (864) 486-6990
1010 Highway 17 N
North Myrtle Beach, SC 29582
Phone (843) 249-1451
10317 Ocean Hwy
Pawleys Island, SC 29585
Phone (843) 237-4036
1751 E Main St
Spartanburg, SC 29307
Phone (864) 573-5313
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant |
363A00000X | |||
| Family Nurse Practitioner |
363LF0000X | Yes |
Addresses
Primary practice location
698 Fairview Rd
Simpsonville, SC 29680-6708
Mailing address
PO Box 772
Woonsocket, RI 02895-0784
Other providers in Simpsonville, SC
- Shanta Milner
- Stephanie Milner
- Teresa Yvonne Mintz
- Minuteclinic Diagnostic South Carolina LLC
- Minuteclinic Diagnostic South Carolina LLC
- Minuteclinic Video Virtual Care, PLLC
- Cameron Mitchell
- Mitzi Creel
- Ashley Monell
- Philipp Daniel Monterroyo
All providers in Simpsonville, SC · Family Nurse Practitioner 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 Dec 17, 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.