NPIMap

Organization Active NPI

Low Country Health Care System, Inc

Doing business as Barnwell Pediatrics

  • Federally Qualified Health Center (FQHC)
  • Barnwell, SC
National Provider Identifier
1962442244
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
LOW COUNTRY HEALTH CARE SYSTEM, INC
Doing business as
Barnwell Pediatrics
Practice address
10706 Marlboro Avenue
Barnwell, SC 29812-1529
Phone
(803) 259-7337
Fax
(803) 259-9505
NPI assigned
Jun 7, 2006
Last updated
Jan 11, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
LOW COUNTRY HEALTH CARE SYSTEMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Authorized official

Name
Mrs. Darainey Hudson Jr.
Title
Chief Compliance Officer
Phone
(803) 632-2533

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X SC Primary

Addresses

Primary practice location

10706 Marlboro Avenue
Barnwell, SC 29812-1529

Mailing address

86 Wren St
Barnwell, SC 29812-1529
Phone (803) 259-5762

Other identifiers 1

IdentifierTypeStateIssuer
FQC174MedicaidSC

Other names 1

  • Barnwell Pediatrics Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160524000583 SC Part B Supplier - Clinic/Group Practice 4284530940 Receives reassigned benefits from 32 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Barnwell, SC
O20160609001532 SC Part A Provider - Federally Qualified Health Center (FQHC) 4284530940 Practice locations: Barnwell, SC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1962442244. Details of each certification follow.

Federally qualified health center certification: CCN 421043

Legal name
LOW COUNTRY HEALTH CARE SYSTEM INC
Doing business as
BARNWELL PEDIATRICS
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jun 9, 2016
Last certification
Jun 9, 2016
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Dec 8, 1997 in SC
Enrollment address
10706 Marlboro Ave
Barnwell, SC 29812-6376

Other NPIs with the same Medicare PAC ID 9

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

Other NPIs on the same Medicare enrollment 1

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D0253761Barnwell Pediatrics10706 Marlboro Avenue, Barnwell, SC 29812ComplianceJul 31, 2026

National Provider Directory

National Provider Directory
Part of
Padgett Family Practice

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

209 Abbeville Ave NW
Aiken, SC 29801
Phone (803) 306-1433

124 Wren St
Barnwell, SC 29812
Phone (803) 254-3278

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Ashley L Barnes Individual Corporate OfficerCeo Oct 11, 2011 100%
Low Country Health Care System Inc Organization, Fairfax, SC Corporation, Non-profit Operational/Managerial Control May 1, 2014
Hope Rhule Individual W-2 Managing EmployeeCredentialing Specialist Aug 1, 2017
Darainey Hudson Individual Corporate Director Jul 31, 1989
W-2 Managing EmployeeCco Jul 31, 1989 75%

Owners & managing parties with NPI records 9

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Padgett Family PracticeBamberg, SC, CCN 421056 Federally qualified health center Operational/Managerial Control (100%) May 1, 2018
Aiken Specialty ServicesAiken, SC, CCN 421067 Federally qualified health center Operational/Managerial Control (100%) Oct 1, 2019

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 36

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.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704931200000",
    "number": "1962442244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 WREN ST",
            "city": "BARNWELL",
            "state": "SC",
            "postal_code": "298121529",
            "telephone_number": "803-259-5762",
            "fax_number": "803-259-3250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10706 MARLBORO AVENUE",
            "city": "BARNWELL",
            "state": "SC",
            "postal_code": "298121529",
            "telephone_number": "803-259-7337",
            "fax_number": "803-259-9505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOW COUNTRY HEALTH CARE SYSTEM, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LOW COUNTRY HEALTH CARE SYSTEM",
        "enumeration_date": "2006-06-07",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "DARAINEY",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "803-632-2533",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FQC174",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Barnwell Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Barnwell Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Barnwell, SC

Sources for this page

Verify at the official NPI Registry.