CARESOUTH SOUTH NPI 1184159063

NPI Information

  • NPI: 1184159063
  • Provider Name: CARESOUTH SOUTH
  • Classification: Point of Service - 305S00000X
  • Entity Type: Organization
  • Former Legal Business Name: CARESOUTH
  • Address: 340 LEE ST
    JOHNSTON, SC
    ZIP 29832
  • Phone: (803) 686-2025

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NPI Details

CARESOUTH SOUTH is a point of service in Johnston, SC. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. CARESOUTH SOUTH NPI is 1184159063. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Caresouth.

The provider's business location address is:

340 LEE ST
JOHNSTON, SC
ZIP 29832-433
Phone: (803) 686-2025
Fax: (803) 275-9481

The provider's authorized official is Christie Culbreath-dickerson .
The authorized official title is Ceo and has the following contact phone number (803) 686-2025.

The enumeration date for this NPI number is 4/27/2017 and was last updated on 4/27/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1305S00000XPoint of ServiceSOUTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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