NPIMap

Organization Active NPI

Carolina Health Centers, Inc.

Doing business as Saluda Family Practice

  • Family Medicine Physician
  • Saluda, SC
National Provider Identifier
1811020266
Registry record updated Jun 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CAROLINA HEALTH CENTERS, INC.
Doing business as
Saluda Family Practice
Practice address
219 Greenwood Hwy
Saluda, SC 29138-1143
Phone
(864) 445-2181
Fax
(864) 445-9554
NPI assigned
Mar 14, 2007
Last updated
Jun 21, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2010

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

Authorized official

Name
Mrs. Lisa Y Gilmer
Title
Practice Administrator
Phone
(864) 941-8121

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

219 Greenwood Hwy
Saluda, SC 29138-1143

Mailing address

219 Greenwood Hwy
PO Box 275
Saluda, SC 29138-1143
Phone (864) 445-2181

Other identifiers 1

IdentifierTypeStateIssuer
FQC018MedicaidSC

Other names 1

  • Saluda Family Practice Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050825000437 SC Part B Supplier - Clinic/Group Practice 5496707804 Receives reassigned benefits from 37 practitioners
10 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Ridge Spring, SC; Waterloo, SC; Ware Shoals, SC; Saluda, SC; MC Cormick, SC; Greenwood, SC; Clinton, SC; Calhoun Falls, SC
O20100612000023 SC Part A Provider - Federally Qualified Health Center (FQHC) 5496707804 Practice locations: Saluda, SC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1811020266. Details of each certification follow.

Federally qualified health center certification: CCN 421816

Legal name
CAROLINA HEALTH CENTERS INC
Doing business as
SALUDA FAMILY PRACTICE
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jun 1, 1992
Last certification
Jun 1, 1992
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jun 27, 1977 in SC
Enrollment address
219 Greenwood Hwy
Saluda, SC 29138-1143

Other NPIs with the same Medicare PAC ID 14

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

View all 14

Other NPIs on the same Medicare enrollment 10

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Christopher Scott Clem Individual Corporate OfficerCfo Jun 16, 2025
W-2 Managing EmployeeCfo Jun 16, 2025
Mary Stackhouse Individual Corporate DirectorBoard Member Mar 26, 1998
Abby Banks Individual Corporate DirectorBoard Member Mar 27, 2017
Kimberly Kapetanakos Individual Corporate DirectorBoard Member Apr 24, 2017
Malcolm O'Neal Individual Corporate DirectorBoard Member Sep 29, 2014
Miriam Ferguson Individual Corporate Officer Jul 14, 2025 100%
Mario Luna Individual Corporate DirectorBoard Member Sep 29, 2014
Gail D Ferguson Individual Corporate DirectorBoard Member Jul 1, 1994
John Britt Individual Corporate DirectorBoard Member Mar 25, 1985
Gregory Bullard Individual Corporate OfficerVice Chair, Finance Committee Jun 24, 1985
Corporate DirectorVice Chair, Finance Committee Jun 24, 1985
Deborah Natvig Individual Corporate DirectorBoard Member Feb 22, 2010
Paul Grogan Individual W-2 Managing EmployeeCfo Aug 6, 2012
Locke Eugene Simons Individual W-2 Managing EmployeeMedical Director Jun 1, 2012

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 26

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.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277078400000",
    "number": "1811020266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 GREENWOOD HWY",
            "address_2": "PO BOX 275",
            "city": "SALUDA",
            "state": "SC",
            "postal_code": "291381143",
            "telephone_number": "864-445-2181",
            "fax_number": "864-445-9554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 GREENWOOD HWY",
            "city": "SALUDA",
            "state": "SC",
            "postal_code": "291381143",
            "telephone_number": "864-445-2181",
            "fax_number": "864-445-9554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA HEALTH CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2010-06-21",
        "status": "A",
        "authorized_official_last_name": "GILMER",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "864-941-8121",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FQC018",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saluda Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saluda, SC

Sources for this page

Verify at the official NPI Registry.