HOMEGROWN PEDIATRICS LLC NPI 1639026016

NPI Information

  • NPI: 1639026016
  • Provider Name: HOMEGROWN PEDIATRICS, LLC
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • Address: 318 MCARN RD
    RIDGEVILLE, SC
    ZIP 29472
  • Phone: (803) 974-0044

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NPI Details

HOMEGROWN PEDIATRICS, LLC is a pediatrics in Ridgeville, SC. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. HOMEGROWN PEDIATRICS, LLC NPI is 1639026016. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

318 MCARN RD
RIDGEVILLE, SC
ZIP 29472-811
Phone: (803) 974-0044

The provider's authorized official is Chelsea Masters .
The authorized official title is Owner and has the following contact phone number (803) 974-0055.

The enumeration date for this NPI number is 3/13/2026 and was last updated on 3/13/2026.

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
1208000000XPediatricsYes

What is NPI?

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

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