NPIMap

Organization Active NPI

Tandem Health SC

  • Federally Qualified Health Center (FQHC)
  • Sumter, SC
National Provider Identifier
1821887480
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
TANDEM HEALTH SC
Practice address
370 S Pike W
Sumter, SC 29150-2664
Phone
(803) 774-4500
Fax
(803) 774-4545
NPI assigned
May 1, 2025
Last updated
Feb 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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

Authorized official

Name
Annie Brown
Title
Ceo
Phone
(803) 774-4545

Specialties & licenses 1

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

Addresses

Primary practice location

370 S Pike W
Sumter, SC 29150-2664

Mailing address

550 S Pike W
Sumter, SC 29150-2616
Phone (803) 324-6975

Other names 2

  • Tandem Health Mobile Other name
  • Tandem Health SC Mobile Other name

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20260225003584 SC Part A Provider - Federally Qualified Health Center (FQHC) 3870575855 Practice locations: Sumter, SC
O20260603003305 SC Part B Supplier - Clinic/Group Practice 3870575855 Receives reassigned benefits from 1 practitioner
Practice locations: Sumter, SC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1821887480. Details of each certification follow.

Federally qualified health center certification: CCN 421132

Legal name
TANDEM HEALTH SC
Doing business as
TANDEM HEALTH SC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Mar 12, 2026
Last certification
Mar 12, 2026
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
370 S Pike W
Sumter, SC 29150-2664

Other NPIs with the same Medicare PAC ID 9

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

National Provider Directory

National Provider Directory
Tax ID family
Sumter Family Health Ce12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Locations

370 S Pike W
Sumter, SC 29150
Phone (803) 774-6448

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
Annie Brown Individual Corporate OfficerCeo Mar 30, 1999
W-2 Managing EmployeeCeo Mar 30, 1999
Page S Hilton Individual OtherBoard Member Apr 8, 2020
Heidi M Adler Individual OtherBoard Member Apr 8, 2021
Terrance L Dupree Individual OtherBoard Member Dec 4, 2023
Muriel L Johnson Individual OtherBoard Member Apr 8, 2020
Linda L Jackson Individual OtherBoard Member Apr 22, 2025
Lydia J Woods-Johnson Individual OtherBoard Member Apr 19, 2021
Shakema S White Individual OtherBoard Member Apr 8, 2020
Joy Lawson Individual OtherBoard Member Apr 7, 2023
Contessa F Wright Individual OtherBoard Member Apr 8, 2020
Jodi L Robbins Individual OtherBoard Member Apr 7, 2023
Hether H Enzor Individual OtherBoard Member Apr 7, 2023
Tracey Denise Flemming Individual OtherBoard Member Apr 22, 2025

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 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.

NPI Registry JSON

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

{
    "created_epoch": "1746057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771977600000",
    "number": "1821887480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 S PIKE W",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291502616",
            "telephone_number": "803-324-6975",
            "fax_number": "803-324-6975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 S PIKE W",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291502664",
            "telephone_number": "803-774-4500",
            "fax_number": "803-774-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANDEM HEALTH SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-01",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ANNIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "803-774-4545"
    },
    "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": "Tandem Health Mobile",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Tandem Health SC Mobile",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sumter, SC

Sources for this page

Verify at the official NPI Registry.