- Primary Care in Latta, SC

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is a primary clinic (Family Medicine) in Latta, South Carolina. The current practice location for is 108a East Main Street, Latta, South Carolina. For appointments, you can reach them via phone at (843) 752-5111. The mailing address for is Po Box 3239, Florence, South Carolina and phone number is (843) 752-5111.

is licensed to practice in * (Not Available) (license number ) and its NPI number is 1689869018. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (843) 752-5111.

Contact Information

108a East Main Street
Latta
SC 29565-1617
(843) 752-5111
(843) 752-5100

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityFamily Medicine
Location108a East Main Street, Latta, South Carolina
Authorized Official Name and PositionPaul Provenzano (REGIONAL PRACTICE MANAGER/AVP)
Authorized Official Contact8437777030
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

Po Box 3239
Florence
SC 29502-3239

Ph: (843) 752-5111
108a East Main Street
Latta
SC 29565-1617

Ph: (843) 752-5111

NPI Details:

NPI Number1689869018
Provider Enumeration Date09/10/2007
Last Update Date03/27/2009

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689869018NPI-NPPES
GP4874MedicaidSC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary
261QR1300XClinic/center - Rural Health (* (Not Available))Secondary
363LF0000XNurse Practitioner - Family (* (Not Available))Secondary

Reviews and Comments


Family Medicine in Latta, SC


Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 108a E Main St, Latta, SC 29565
Phone: 843-752-1234    Fax: 843-752-1108
Caresouth Carolina Inc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 122 Latimer St, Latta, SC 29565
Phone: 843-857-0111    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.