NPIMap

Organization Active NPI

Low Country Health Care System, Inc

  • Federally Qualified Health Center (FQHC)
  • Barnwell, SC
National Provider Identifier
1780112912
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
LOW COUNTRY HEALTH CARE SYSTEM, INC
Practice address
124 Wren St
Barnwell, SC 29812-1527
Phone
(803) 259-5762
Fax
(803) 259-3250
NPI assigned
Jun 1, 2017
Organization subpart
Yes
Parent organization
LOW COUNTRY HEALTH CARE SYSTEM, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Authorized official

Name
Darianey Hudson
Title
Chief Compliance Officer
Phone
(803) 632-2533

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

124 Wren St
Barnwell, SC 29812-1527

Mailing address

86 Wren St
Barnwell, SC 29812-1529
Phone (803) 259-5762

Other names 1

  • Barnwell Family Specialty Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20190424000112 SC Part A Provider - Federally Qualified Health Center (FQHC) 4284530940 Practice locations: Barnwell, SC
O20190610001031 SC Part B Supplier - Clinic/Group Practice 4284530940 Receives reassigned benefits from 34 practitioners
Practice locations: Barnwell, SC

Federally qualified health center certification: CCN 421062

Legal name
LOW COUNTRY HEALTH CARE SYSTEM INC
Doing business as
BARNWELL FAMILY SPECIALTY SERVICES
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Apr 23, 2019
Last certification
Apr 23, 2019
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Dec 8, 1997 in SC
Enrollment address
124 Wren St
Barnwell, SC 29812-1527

Other NPIs with the same Medicare PAC ID 9

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D2159190Barnwell Family Specialty Services124 Wren Street, Barnwell, SC 29812Provider-performed microscopyDec 12, 2026

National Provider Directory

National Provider Directory
Part of
Low Country Health Care System Inc

Ownership & related parties

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Evelyn R Coker Individual Corporate DirectorBoard Member - Sec Jan 1, 2019
Ashley L Barnes Individual Corporate OfficerCeo Oct 11, 2011
Hope Rhule Individual W-2 Managing EmployeeCredentialing Specialist Jan 1, 2019
Marshal L Martin Individual Corporate DirectorBoard Chairman Jan 1, 2019
Darainey Hudson Individual Corporate OfficerChief Compliance Officer Jan 1, 2019
Daniel L Packer Individual Corporate DirectorBoard Member - Treas Jan 1, 2019

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Barnwell PediatricsBarnwell, SC, CCN 421043 Federally qualified health center Operational/Managerial Control May 1, 2014
Padgett Family PracticeBamberg, SC, CCN 421056 Federally qualified health center Operational/Managerial Control (100%) May 1, 2018
Aiken Specialty ServicesAiken, SC, CCN 421067 Federally qualified health center Operational/Managerial Control (100%) Oct 1, 2019

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 35

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1496275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704931200000",
    "number": "1780112912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 WREN ST",
            "city": "BARNWELL",
            "state": "SC",
            "postal_code": "298121529",
            "telephone_number": "803-259-5762",
            "fax_number": "803-259-3250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 WREN ST",
            "city": "BARNWELL",
            "state": "SC",
            "postal_code": "298121527",
            "telephone_number": "803-259-5762",
            "fax_number": "803-259-3250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOW COUNTRY HEALTH CARE SYSTEM, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LOW COUNTRY HEALTH CARE SYSTEM, INC.",
        "enumeration_date": "2017-06-01",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "DARIANEY",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "803-632-2533"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Barnwell Family Specialty Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Barnwell Family Specialty Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Barnwell, SC

Sources for this page

Verify at the official NPI Registry.