Cherokee Community Care, LLC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

CHEROKEE COMMUNITY CARE, LLC

Practice address

1307 N Logan St
Gaffney, SC 29341-2026

Phone

(864) 488-1333

Fax

(864) 488-3004

NPI assigned

Oct 23, 2006

Last updated

Oct 30, 2023By 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

Lena Connie Stuart

Title

Office Manager

Phone

(864) 488-1333

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1891878971. Details of each certification follow.

• CCN 428948 Rural health clinic · Active · Details

Rural health clinic certification: CCN 428948

Legal name

CHEROKEE COMMUNITY CARE, LLC

Certification status

Active

Provider type (POS)

Rural health clinic

Participating since

Nov 20, 2001

Last certification

Feb 2, 2023

Ownership / control type

1A

Organization structure

LLCProprietary

Incorporated

in SC

Enrollment address

1307 N Logan St
Gaffney, SC 29341-2026

Other NPIs with the same Medicare PAC ID 1

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

• Cherokee Community Care, LLC

  • Family Medicine Physician
  • Gaffney, SC
  • NPI 1003462151

  6406187855

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

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

• Cherokee Community Care, LLC

  • Family Medicine Physician
  • Gaffney, SC
  • NPI 1003462151

  O20191016000683

  Same enrollment

Locations

All disclosed owners & managing parties 1

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

Change-of-ownership history 2

Practitioners 3

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.

• Kathleen Gilfillan Bowling, NP-C

  • Family Nurse Practitioner
  • Gaffney, SC
  • NPI 1649789579
  NPD (past)
• Amanda Falls Broome, PA-C

  • Medical Physician Assistant
  • Spartanburg, SC
  • NPI 1902088867
  NPD (past)
• Timothy Stuart, PA-C

  • Physician Assistant
  • Gaffney, SC
  • NPI 1952558058
  NPD (past)

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698624000000",
    "number": "1891878971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 N LOGAN ST",
            "city": "GAFFNEY",
            "state": "SC",
            "postal_code": "293412026",
            "telephone_number": "864-488-1333",
            "fax_number": "864-488-3004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 N LOGAN ST",
            "city": "GAFFNEY",
            "state": "SC",
            "postal_code": "293412026",
            "telephone_number": "864-488-1333",
            "fax_number": "864-488-3004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEROKEE COMMUNITY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A",
        "authorized_official_last_name": "STUART",
        "authorized_official_first_name": "LENA",
        "authorized_official_middle_name": "CONNIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "864-488-1333"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RHC118",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Ivey Chamberlain, FNP
• Michelle Chau, PHARMD
• Cherokee Chiropractic Clinic
• Cherokee Co. Schools
• Cherokee Community Care, LLC
• Cherokee County Commission on Alcohol and Drug Abuse
• Cherokee County DSN Board
• Cherokee County School District
• Cherokee General Dentistry
• Cherokee Internal Medicine PA

• Rural Health Clinic/Center in Gaffney, SC
• Providers in Gaffney, SC by specialty
• Rural Health Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.