Active NPI
Berkeley Home Clinic
- Clinic/Center
- Moncks Corner, SC
National Provider Identifier
1609796762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- BERKELEY HOME CLINIC
- Practice address
- 1008 Old Highway 52 Ste E
Moncks Corner, SC 29461-3011 - Phone
- (843) 830-8636
- NPI assigned
- Jul 20, 2026
- Last updated
- Jul 20, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rachel Marie Bailey, FNP-C
- Title
- Family Nurse Practitioner
- Phone
- (843) 830-8636
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | NU | Primary |
Addresses
Primary practice location
1008 Old Highway 52 Ste E
Moncks Corner, SC 29461-3011
Mailing address
1000 Churchill Rd
Moncks Corner, SC 29461-7134
National Provider Directory
National Provider DirectoryLocations
1008 Old Highway 52
Ste E
Moncks Corner, SC 29461
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Nurse Practitioner
- Moncks Corner, SC
- NPI 1528792728
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1784505600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784505600000",
"number": "1609796762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 CHURCHILL RD",
"city": "MONCKS CORNER",
"state": "SC",
"postal_code": "294617134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1008 OLD HIGHWAY 52 STE E",
"city": "MONCKS CORNER",
"state": "SC",
"postal_code": "294613011",
"telephone_number": "843-830-8636"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BERKELEY HOME CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2026-07-20",
"last_updated": "2026-07-20",
"certification_date": "2026-07-19",
"status": "A",
"authorized_official_last_name": "BAILEY",
"authorized_official_first_name": "RACHEL",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
"authorized_official_telephone_number": "843-830-8636",
"authorized_official_credential": "FNP-C"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moncks Corner, SC
- Berkeley County School District
- Berkeley County School District
- Berkeley County Schools
- Berkeley Family Dentistry LLC
- Berkeley Family Practice LLC
- Berkeley Home Pharmacy LLC (Berkeley Home Pharmacy)
- Berkeley Medical Center, LLC
- Berkeley Prosthetic Laboratory LLC
- Berkeley Seniors Inc
- Berkeley Treatment Center LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.