NPIMap

Organization Active NPI

Urology Specialists of the Carolinas

  • Urology Physician
  • Fort Mill, SC
National Provider Identifier
1740196096
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
UROLOGY SPECIALISTS OF THE CAROLINAS
Practice address
364 Fort Mill Pkwy Ste 101
Fort Mill, SC 29715-9810
Phone
(803) 825-0457
Fax
(704) 337-8387
NPI assigned
Aug 19, 2026
Organization subpart
Yes
Parent organization
UROLOGY SPECIALISTS OF THE CAROLINAS PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Authorized official

Name
Carrie Lynn Prue
Title
Credentialing Manager
Phone
(704) 944-6330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

364 Fort Mill Pkwy Ste 101
Fort Mill, SC 29715-9810

Mailing address

364 Fort Mill Pkwy Ste 101
Fort Mill, SC 29715-9810
Phone (803) 825-0457

National Provider Directory

National Provider Directory
Tax ID family
Urology Specialists of the Carolinas PLLC10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

364 Fort Mill Pkwy
Ste 101
Fort Mill, SC 29715

NPI Registry JSON

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

{
    "created_epoch": "1787097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787097600000",
    "number": "1740196096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "364 FORT MILL PKWY STE 101",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297159810",
            "telephone_number": "803-825-0457",
            "fax_number": "704-337-8387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "364 FORT MILL PKWY STE 101",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297159810",
            "telephone_number": "803-825-0457",
            "fax_number": "704-337-8387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGY SPECIALISTS OF THE CAROLINAS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UROLOGY SPECIALISTS OF THE CAROLINAS PLLC",
        "enumeration_date": "2026-08-19",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A",
        "authorized_official_last_name": "PRUE",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "704-944-6330"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Mill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.