Carolina Community Maternity Center

Primary specialty

MidwifeTaxonomy code 176B00000X

License

BC-0009 Issued in SC

Legal business name

CAROLINA COMMUNITY MATERNITY CENTER

Practice address

2848 Pleasant Rd Ste 101
Fort Mill, SC 29708-9494

Phone

(803) 802-9494

Fax

(877) 802-1901

NPI assigned

Dec 19, 2014

Last updated

Dec 19, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Lisa Marie Johnson, LICENSED MIDWIFE

Title

Co-Owner/Partner

Phone

(803) 802-9494

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1418947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418947200000",
    "number": "1871991059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2848 PLEASANT RD STE 101",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297089494",
            "telephone_number": "803-802-9494",
            "fax_number": "877-802-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2848 PLEASANT RD STE 101",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297089494",
            "telephone_number": "803-802-9494",
            "fax_number": "877-802-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA COMMUNITY MATERNITY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-19",
        "last_updated": "2014-12-19",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CO-OWNER/PARTNER",
        "authorized_official_telephone_number": "803-802-9494",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LICENSED MIDWIFE"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "SC",
            "license": "BC-0009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1679704043",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caring Seasons Health, LLC
• Carl Samuel Carlson, M.S., LPES
• Krystal Kayla Carmichael, MD
• Carolina Community Counseling LLC
• Carolina Community Maternity Center
• Carolina Endocrinology & Diabetes, LLC
• Carolina Family Eyecare
• Carolina Integrated Medicine LLC
• Carolina Interventional Pain Associates, P.a (Interventional Pain Partners)
• Carolina Interventional Pain Associates, PA (Pain Medicine Specialists of Fort Mill)

• Midwife in Fort Mill, SC
• Providers in Fort Mill, SC by specialty
• Midwife in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2014; 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.