Organization Active NPI

Mdcarolina, PA

  • General Practice Physician
  • York, SC
National Provider Identifier
1942301544
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
MDCAROLINA, PA
Practice address
1190 Filbert Hwy
Suite 110
York, SC 29745-9324
Phone
(803) 628-0004
Fax
(803) 628-6004
NPI assigned
Sep 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mrs. Kim B Clayton
Title
Practice Manager
Phone
(803) 628-0004

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207P00000X
General Practice PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

1190 Filbert Hwy
Suite 110
York, SC 29745-9324

Mailing address

1190 Filbert Hwy
Suite 110
York, SC 29745-9324
Phone (803) 628-0004

Other names 1

  • PIEDMONT WEST URGENT CARE CENTER Doing business as

National Provider Directory

National Provider Directory

Locations

1190 Filbert Hwy
Ste 110
York, SC 29745
Phone (803) 628-0004

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1942301544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 FILBERT HWY",
            "address_2": "SUITE 110",
            "city": "YORK",
            "state": "SC",
            "postal_code": "297459324",
            "telephone_number": "803-628-0004",
            "fax_number": "803-628-6004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 FILBERT HWY",
            "address_2": "SUITE 110",
            "city": "YORK",
            "state": "SC",
            "postal_code": "297459324",
            "telephone_number": "803-628-0004",
            "fax_number": "803-628-6004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDCAROLINA, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "CLAYTON",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "803-628-0004",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PIEDMONT WEST URGENT CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in York, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.