Carolina Radiology Associates LLC
Radiology, Diagnostic Radiology in Conway, SC. Organization (NPI-2).
NPI number1225014657
StatusActive
Last updated in NPPESOct 16, 2026
Details
- NPI
- 1225014657
- Entity type
- Organization (NPI-2)
- Legal business name
- Carolina Radiology Associates LLC
- Organization subpart
- No
- Enumeration date
- Dec 18, 2005
- Certification date
- Oct 16, 2026
- Last updated
- Oct 16, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | – | SC | Yes |
| 2085R0204X | Radiology, Vascular & Interventional Radiology | – | SC |
Practice location
300 Singleton Ridge RdConway, SC 29526-9142
Phone 843-238-8660
Mailing address
Po Box 678904Dallas, TX 75267-8904
Phone 843-467-2676 · Fax 843-497-9566
Authorized official
B Ed Shelley
Ceo
8436920570
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Diagnostic Radiology Physician providers in Conway, SC
- Matthew J Cerny, MDNPI 1992792683
- Brandon Cramer, M.D.NPI 1154689982
- John J Daly, MDNPI 1396723250
- Russell L Derrick, MDNPI 1457337941
- Ryan Eric Embertson, M.D.NPI 1871835363
- Noel C Haskins, MDNPI 1447236948
- Elizabeth A Kelley, MDNPI 1134105562
- Deanna Lee Kitchen, MD, MPHNPI 1649774407
- Paul M Kuperman, MDNPI 1114903515
- Jeffrey S Lackey, MDNPI 1184600587
All 17 Diagnostic Radiology Physician providers in Conway · All 1,607 providers in Conway
Checking a whole list?
Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 100 free a day, then from $5 for 5,000. Useful for credentialing, billing and pharmacy claim checks.