Kershaw County Medical Center
Organization Active NPI Pediatrics Physician · Lugoff, SC
NPI 1922099522 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1922099522
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatrics Physician 208000000X
- Legal business name
- KERSHAW COUNTY MEDICAL CENTER
- Practice address
- 1165 Highway 1 S
Suite 200
Lugoff, SC 29078-8966 - Phone
- (803) 408-0225
- NPI assigned
- Nov 2, 2005
- Organization subpart
- No
Authorized official
- Name
- Mr. Donnie J Weeks
- Title
- Ceo
- Phone
- (803) 713-6227
Subparts reporting this organization as parent 1
Corporate family (same tax ID) 7
National Provider Directory
- Tax ID family
- Kershaw County Medical
Locations
1165 Highway 1 S
Ste 200
Lugoff, SC 29078
Phone (803) 408-0225
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | |||
| Pediatrics Physician |
208000000X | Yes |
Addresses
Primary practice location
1165 Highway 1 S
Suite 200
Lugoff, SC 29078-8966
Mailing address
1165 Highway 1 S
Suite 200
Lugoff, SC 29078-8966
Phone (803) 408-0225
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 203817 | Medicaid | SC |
Other names
- Apex Care
Other providers in Lugoff, SC
- Cara Elise Jones
- Robert Kabakjian Sr.
- Min Kang
- James C Kearse III
- Crystal Keith
- Kershaw Hospital LLC
- Kershaw Hospital LLC
- Kershawhealth
- Kershawhealth
- Alexa Adams Knox
All providers in Lugoff, SC · Pediatrics Physician in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.