Active NPI
Carter Jameson McCormack, M.D.
- Surgery Physician
- Clinton, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 33343
- Practice address
- 1012 Medical Ridge Rd
Clinton, SC 29325-4542 - Phone
- (864) 833-3852
- Fax
- (864) 938-0501
- NPI assigned
- Aug 26, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 33343 | SC | Primary |
| Surgery Physician | 208600000X | 2024-00957 | NC |
Addresses
Primary practice location
1012 Medical Ridge Rd
Clinton, SC 29325-4542
Mailing address
1 Independence PT Ste 212
Greenville, SC 29615-4536
Phone (864) 797-6303
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3271200 | Medicaid | NJ | |
| 333437 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1901 S Hawthorne Rd
Suite 220
Winston Salem, NC 27103-3914
Phone (336) 718-6777
50 E Hospital St
Suite 4
Manning, SC 29102-3149
Phone (803) 435-2822
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2024-00957 | NC | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greenville Health System | Current | Accepting new patients | |
| Prisma Health University Medical Group | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Prisma Health University Medical Group | Current | Accepting new patients | |
| Forsyth Memorial Hospital, Inc. | Current | Accepting new patients | |
| Signify Health Medical Associates, PLLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Greenville Health System | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| McLeod Physician Associates II | Surgery | Current | Accepting new patients |
| Forsyth Memorial Hospital, Inc. | Current | Accepting new patients | |
| Greenville Health System | Current | Accepting new patients | |
| McLeod Physician Associates II | Current | Accepting new patients | |
| Galler & Feinberg Surgical Associates | Surgery | Past | Accepting new patients |
| McLeod Physician Associates II | Past | Accepting new patients | |
| Forsyth Memorial Hospital, Inc | Past | Accepting new patients |
Locations
10810 Mallard Creek Rd
Charlotte, NC 28262
Phone (704) 510-8000
6301 Stadium Dr
Clemmons, NC 27012
Phone (336) 766-6473
291 Broad St
Kernersville, NC 27284
Phone (336) 993-8181
1710 Kernersville Medical Pkwy
Ste 220
Kernersville, NC 27284
Phone (336) 564-4035
5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441
211 Old Lexington Rd
Thomasville, NC 27360
Phone (336) 472-1191
2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300
250 Charlois Blvd
Winston Salem, NC 27103
Phone (336) 718-1000
100 Robinhood Medical Plz
Winston Salem, NC 27106
Phone (336) 718-0560
1901 S Hawthorne Rd
Ste 210
Winston Salem, NC 27103
Phone (336) 718-5000
1901 S Hawthorne Rd
Ste 220
Winston Salem, NC 27103
Phone (336) 718-6777
721 S Doctors Dr
Cheraw, SC 29520
Phone (843) 320-9086
1012 Medical Ridge Rd
Clinton, SC 29325
Phone (864) 399-9070
22725 US Highway 76
Clinton, SC 29325
Phone (864) 833-9100
2 Office Park Ct
Ste 103
Columbia, SC 29223
Phone (256) 497-0032
210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123
506 E Cheves St
#202
Florence, SC 29506
800 E Cheves St
Ste 240
Florence, SC 29506
Phone (843) 777-7950
800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337
2A Cleveland Ct
Greenville, SC 29607
Phone (864) 271-7761
1 Independence Pt
Ste 212
Greenville, SC 29615
Phone (864) 797-6306
50 E Hospital St
Ste 4
Manning, SC 29102
Phone (803) 435-2822
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Interoperability endpoints
- cmccormack1727325@direct.novanthealth.org
- cmccormack5710@direct.ghs.myhfn.org
- cmccormack86549@directmcleodehealth.org
Organizations & group practices 16
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba NH Forsyth Primary Care Clinics
- Family Medicine Physician
- Winston Salem, NC
- NPI 1104548874
-
dba GHS Patewood Memorial Hospital
- General Acute Care Hospital
- Greenville, SC
- NPI 1568532513
-
- Family Medicine Physician
- Greenville, SC
- NPI 1295763217
-
dba Novant Health Pediatric Neurology & Sleep
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
-
dba GHS Laurens County Memorial Hospital
- General Acute Care Hospital
- Clinton, SC
- NPI 1043650567
-
dba GHS Cardiovascular SVCS Simp
- General Acute Care Hospital
- Simpsonville, SC
- NPI 1679992838
-
dba McLeod Orthopaedics - Florence
- Orthopaedic Surgery Physician
- Florence, SC
- NPI 1922555739
-
dba Parkside OB-GYN
- Gynecology Physician
- Greer, SC
- NPI 1003619313
-
dba Novant Health Heart & Vascular Institute - Frontis Plaza
- Cardiovascular Disease Physician
- Winston Salem, NC
- NPI 1932935475
-
dba NHMG Primary Care Clinics
- Internal Medicine Physician
- Charlotte, NC
- NPI 1134841802
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cheraw, SC
- NPI 1902283740
-
dba Novant Health Forsyth Medical Center
- General Acute Care Hospital
- Winston Salem, NC
- NPI 1447200233
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761782400000",
"number": "1710970520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 INDEPENDENCE PT STE 212",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296154536",
"telephone_number": "864-797-6303",
"fax_number": "864-797-6198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1012 MEDICAL RIDGE RD",
"city": "CLINTON",
"state": "SC",
"postal_code": "293254542",
"telephone_number": "864-833-3852",
"fax_number": "864-938-0501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCORMACK",
"first_name": "CARTER",
"middle_name": "JAMESON",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-26",
"last_updated": "2025-10-30",
"certification_date": "2025-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "SC",
"license": "33343",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NC",
"license": "2024-00957",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3271200",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "333437",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clinton, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.