Minuteclinic Primary Care South Carolina LLC
Nurse Practitioner, Family in Simpsonville, SC. Organization (NPI-2).
NPI number1548070071
StatusActive
Last updated in NPPESNov 3, 2026
Details
- NPI
- 1548070071
- Entity type
- Organization (NPI-2)
- Legal business name
- Minuteclinic Primary Care South Carolina LLC
- Organization subpart
- Yes
- Enumeration date
- Jan 8, 2025
- Certification date
- Nov 3, 2026
- Last updated
- Nov 3, 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 |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | – | – | Yes |
| 363A00000X | Physician Assistant | – | – |
Practice location
698 Fairview RdSimpsonville, SC 29680-6708
Phone 866-389-2727
Mailing address
Po Box 772Woonsocket, RI 02895-0784
Authorized official
Deborah Pincince
Administrator
4017703813
Is something wrong?
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