Active NPIOrganization

Ccmma Sc LLC

Internal Medicine, Critical Care Medicine in Sumter, South Carolina

NPI Number1245715796
Practice location
129 N Washington St, Sumter, SC 29150-4949
Fax
—
Last updated
April 28, 2025

Ccmma Sc LLC is a healthcare organization based in Sumter, SC. Ccmma Sc LLC practices in Sumter, SC. The NPI Number for Ccmma Sc LLC is 1245715796. The current practice location address for Ccmma Sc LLC is 129 N Washington St, Sumter, SC 29150-4949 and can be reached out via phone at 803-774-9000.

Provider Profile Details

NPI Number
1245715796
Provider Name
Ccmma Sc LLC
Provider Entity Type
Organization
Address
129 N Washington St, Sumter, SC 29150-4949
Phone Number
803-774-9000
Primary Taxonomy
Internal Medicine, Critical Care Medicine · 207RC0200X
Organization Subpart
No
Authorized Official
Corey Scurlock, MD · Member · 914-523-2189
Provider Enumeration Date
October 1, 2018
Last Update Date
April 28, 2025
Certification Date
April 28, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
129 N Washington St
Sumter, SC 29150-4949
City
Sumter
Zip
29150-4949
Phone Number
803-774-9000
Sumter, SC 29150Get directions →

Provider Business Mailing Address Details

Address
Po Box 631797
Cincinnati, OH 45263-1797
City
Cincinnati
State
OH
Zip
45263-1797
Phone Number
845-702-2711
Fax Number
888-220-6560

License Information

Taxonomy (1)
Anesthesiology, Critical Care Medicine · 207LC0200X
Taxonomy (2)
Internal Medicine, Critical Care Medicine · 207RC0200X · Primary
Taxonomy (3)
Internal Medicine, Pulmonary Disease · 207RP1001X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ccmma Sc LLC?

The NPI number of Ccmma Sc LLC is 1245715796. It was assigned on October 1, 2018 and is currently active in the NPPES registry.

What is the specialty of Ccmma Sc LLC?

Ccmma Sc LLC is registered under the primary taxonomy Internal Medicine, Critical Care Medicine (code 207RC0200X).

Where does Ccmma Sc LLC practice?

The practice location is 129 N Washington St, Sumter, SC 29150-4949. The office can be reached at 803-774-9000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1245715796 directly on the NPPES registry website.

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