Active NPI
CB House Calls
- Urgent Care Clinic/Center
- Summerville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- CB HOUSE CALLS
- Practice address
- 104 Terrapin Cir
Summerville, SC 29486-8273 - Phone
- (843) 475-4392
- NPI assigned
- Feb 10, 2022
- Last updated
- Dec 5, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Carothers, PA-C
- Title
- Physician Assistant
- Phone
- (843) 475-4392
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | NU | Primary |
Addresses
Primary practice location
104 Terrapin Cir
Summerville, SC 29486-8273
Mailing address
104 Terrapin Cir
Summerville, SC 29486-8273
Phone (843) 475-4392
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 42D2247212 | CB House Calls | Certificate of waiver | Jan 4, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Medical Physician Assistant
- Summerville, SC
- NPI 1063797447
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644451200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701734400000",
"number": "1902550718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 TERRAPIN CIR",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294868273",
"telephone_number": "843-475-4392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 TERRAPIN CIR",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294868273",
"telephone_number": "843-475-4392"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CB HOUSE CALLS",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-10",
"last_updated": "2023-12-05",
"certification_date": "2023-12-05",
"status": "A",
"authorized_official_last_name": "CAROTHERS",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
"authorized_official_telephone_number": "843-475-4392",
"authorized_official_credential": "PA-C"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Summerville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.