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South Carolina Medicaid lookup

One provider matched this Medicaid ID.

South Carolina Medicaid ID GP4402 resolves to a single NPI record. Open the full profile for complete detail.

Single match found
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NPI · 1073564027 · Active
North Berkeley Family Care, LLC
Primary Care Clinic · Saint Stephen, South Carolina
Active
NPI
1073564027
Medicaid (SC)
GP4402
Taxonomy
261QP2300X
State
South Carolina

Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • 1982791414SC· Issued by NPI# FOR PA-C EMPLOYED
  • 1407852791SC· Issued by NPI # FOR MD EMPLOYED

Medicaid

Source: NPPES public registry.

ReferenceAbout state Medicaid identifiers

State Medicaid programmes assign each enrolled provider a state-scoped identifier used on Medicaid claims. The identifier is reported to the federal NPPES registry alongside the provider's NPI and is mirrored here from the public dissemination file. Each state administers its own Medicaid programme, so the same provider can hold different Medicaid numbers in different states.