Prime Care of the Lower Pee Dee, LLC
NPI 1437692407 · Multi-Specialty Clinic/Center · Lake City, SC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prime Care of the Lower Pee Dee, LLC is a Multi-Specialty Clinic/Center organization in Lake City, SC (NPI 1437692407).
Provider details
- NPI number
- 1437692407
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Tyrone Wallace, Owner(843) 394-8274
- License
- SC 1873 (SC)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-11-23
- Last updated
- 2016-11-23
Frequently asked questions
- What is Prime Care of the Lower Pee Dee, LLC's NPI number?
- Prime Care of the Lower Pee Dee, LLC's National Provider Identifier (NPI) is 1437692407, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Prime Care of the Lower Pee Dee, LLC?
- Prime Care of the Lower Pee Dee, LLC is classified in the NPPES registry as Multi-Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Prime Care of the Lower Pee Dee, LLC located?
- Prime Care of the Lower Pee Dee, LLC's practice location on file with NPPES is 263 Kelley St Ste 100, Lake City, SC 29560-2472.
- What is Prime Care of the Lower Pee Dee, LLC's phone number?
- The practice phone number listed in the NPPES registry for Prime Care of the Lower Pee Dee, LLC is (843) 394-8274.
- Does Prime Care of the Lower Pee Dee, LLC accept Medicare?
- Prime Care of the Lower Pee Dee, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Prime Care of the Lower Pee Dee, LLC?
- The authorized official listed on Prime Care of the Lower Pee Dee, LLC's NPPES record is Tyrone Wallace, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Prime Care of the Lower Pee Dee, LLC's NPI active?
- Yes — Prime Care of the Lower Pee Dee, LLC's NPI (1437692407) is active in the NPPES registry as of the last update on 2016-11-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.